The Evolution of Pharmacy Practice in Karangasem

Karangasem, a regency located on the eastern side of Bali, Indonesia, has experienced significant changes in its healthcare landscape over the years. The evolution of pharmacy practice in this region is a compelling reflection of broader trends in healthcare, technology, and local needs.

 

Historically, the role of pafikabkarangasem, as in many other rural regions, was quite limited. In the early 20th century, pharmacy practice was rudimentary, with local apothecaries often relying on traditional remedies and basic medicinal knowledge. The concept of a pharmacist was largely confined to dispensing medications rather than engaging in comprehensive patient care or advanced therapeutic practices.

 

The mid-20th century marked the beginning of modernization in pharmacy practice in Karangasem. The introduction of formal pharmaceutical education and training programs contributed to a more structured approach to medication management. During this period, pharmacies in Karangasem began to incorporate a wider range of pharmaceutical products, moving beyond simple remedies to include more advanced medications and health products. This shift was driven by increased access to medical supplies and the growing need for more specialized healthcare solutions.

 

In the late 20th and early 21st centuries, the evolution of pharmacy practice in Karangasem became more pronounced. The Indonesian government’s efforts to improve healthcare access and quality had a significant impact on the region. The establishment of new healthcare facilities, including modern pharmacies, brought advanced diagnostic tools and treatment options to Karangasem. Pharmacists began to take on more active roles in patient education, medication management, and preventive care. This period saw the emergence of community pharmacies that not only dispensed medications but also offered health consultations, disease prevention advice, and lifestyle modification guidance.

 

The advent of the 21st century introduced a new era of technological advancement and regulatory changes. The rise of digital health records, telemedicine, and online pharmacies began to transform the way pharmacy practice was conducted in Karangasem. Pharmacists embraced new technologies to enhance patient care, improve the accuracy of medication dispensing, and streamline administrative processes. Telepharmacy, in particular, became an important tool in remote areas, providing patients with access to pharmaceutical care without the need for extensive travel.

 

One of the notable trends in recent years is the increasing emphasis on the integration of traditional and modern medicine. In Karangasem, where traditional Balinese healing practices are deeply ingrained in the local culture, pharmacists are increasingly recognizing the value of integrating these practices with conventional pharmaceutical care. This approach respects cultural beliefs while ensuring that patients receive evidence-based treatment options.

 

The role of pharmacists in Karangasem continues to evolve as they adapt to new challenges and opportunities. Today’s pharmacists are not only medication experts but also vital contributors to public health, chronic disease management, and health promotion. Their involvement in interdisciplinary teams and community health initiatives underscores their growing importance in the healthcare system.

 

In conclusion, the evolution of pharmacy practice in Karangasem is a testament to the broader transformations occurring in healthcare. From its humble beginnings to the integration of modern technologies and practices, pharmacy in Karangasem has progressed significantly. As the region continues to develop, pharmacists will play an increasingly critical role in advancing healthcare, improving patient outcomes, and bridging the gap between traditional and contemporary medical practices.

The Second Wave:COVID 19- Everything we need to know about it and protect ourselves

There was a small but significant respite from coronavirus, with steady decline in cases in the last few months of 2020. But the sudden spike of Cornovirus cases with rapid mutations of virus has again put us on our toes. Life has again come to a standstill with expeditious number of cases, challenged medical facilities, fresh lockdowns and vaccination hesitancy. Novel strain of coronavirus SARS-CoV-2 is again back with loud bang forcing us to again loom in fear and uncertainty.

What serious is the current condition?

With a very high number of daily new cases since end of March, April 5 registered around 96,982 cases. Few states are witnessing massive surge and contribute about 70-80% of these numbers. This has put huge load on healthcare with increased threat to non-availability of beds, ventilators, medical care and oxygen. This worsened outbreak has again put us in scary conditions of health scare, loss of lives and livelihood.

Who is at greater risk?

Similar to first wave this time also our elders above 60 are more exposed to life threatening conditions caused by coronavirus. All people with co-morbidities like diabetes, hypertension, heart or lung diseases and autoimmune conditions are at tremendous risk.

Has the virus changed, should I be bothered?

Yes, because the virus has mutated and according to the recent reports and studies, virus has become more dangerous and capable of spreading at greater speed. At the same time it is also causing severe illness and complications. The viral load is higher in patients as compared to the first wave. This could be attributed to various mutations virus underwent over the course of time like Brazilian variant, South African variant, Kent variant, double mutant Indian variant, Brazilian variant. These mutations can also reduce the efficacy of the vaccines; but as of now, there is no such confirmation.

Also, unlike previous wave of pandemic, this times virus is affecting young people too, causing severe complications in some cases. However, still most cases remain asymptomatic or mild. But it has potential to cause severe bilateral pneumonia, organ damage and unforeseen complications in long term.

Why are we experiencing second wave?

There may be many factors responsible for this spike.

Human carelessness: With sloppy attitude among people regarding mask, sanitation, hygiene and social distancing virus has again carved its way among us. Coronavirus was never gone completely but, it could not infect so many people as before; because we all were very careful in breaking human chain. But then due to pandemic fatigue and negligent hygienic measures people were less bothered about it, as cases declined. However, situation has reversed now with rapid upsurge of fresh cases.
Mutation in virus with increased ability to cause infection is also responsible for increased number of cases.
Reopening of various activities and relaxation of lockdown along with lax attitude of people in overcrowded areas is culpable.
Are the symptoms experienced same or different?

There are many new set of symptoms reported this time with this new wave of infection. These symptoms are:

Gastrointestinal symptoms like- nausea, vomiting, loose motion, abdominal pain
Cold
Pain in joints, headache, weakness, appetite loss
Fever and cough
Breathlessness
Should one be scared?

No, getting scared does not help but taking adequate precautions can.

What are we supposed to do when we are in between second surge of infection?

Mask, Hand hygiene, Sanitation and Social Distancing still remains our most important weapons in the battle against Coronavirus pandemic.
Vaccine is most important in developing antibodies against the virus. Covishield and Covaxin are currently administered in India above 45 years of age population. The effectiveness of these vaccines against all these variants is still not known; yet they are our most important tool against coronavirus. Get yourself vaccinated when your turn comes and protect yourself.
Even if, you are vaccinated take all precautions. Antibodies take at least 15 days post 2nd dose of vaccine to get fully developed. No vaccine is hundred percent, hence it is very crucial to take all covid precautions even after getting fully vaccinated.
Take both doses of vaccinations; otherwise you may be left vulnerable.
Go for vaccination even if, were infected with COVID earlier. Since, antibodies can wane with time, it is important to take vaccine.
Follow all guidelines as instructed by the government which are designed by the health experts for benefit of our lives. Each life matters and our joint efforts can save us and our families.
Get yourself checked for RT-PCR test if, you have any symptom or you came in contact with the positive patients.
Isolate yourself completely, if, found positive.
Follow doctor’s guideline and local authority’s instructions.
Avoid public places or overcrowded areas. If, not necessary, do not go out.
Eat healthy and fresh foods to boost immunity.
Keep your rooms ventilated and clean.
Keep your shopping/ meeting time short. Follow physical distancing.
If, you are suffering from any other disease, do take medical treatment. Timely treatment of grave diseases is important too.
Avoid falling prey to fake news. Do not get anxious and confirm from official sources.
Practice meditation and yoga. Staying physically fit and mentally healthy is paramount.
Let technology be your friend to stay connected with friends and family. COVID induced isolation can be damaging.
With around 818.80 lakhs people, received their vaccine till date in India; we need to increase our numbers further. Go for it, when you are provided opportunity to take it. This time pandemic has greater spreading potential and we need to act fast. According to government, next four weeks are going to be critical and we cannot keep our guard down. With lots of stress regarding health, life, economy; we have only option to follow all preventive measures against coronavirus to protect our lives.

Earn a Living By Being a Part of Successful Freelance Article Writers

So follow the options above and move your dreams forward and live life fully and be amongst the many successful.

Due to increase in price of commodities, people are looking for more and more sources of income. Brick-and-mortar businesses and companies have decreased in popularity with many shifting their focus and attention to the Internet.

Along with the increase in online business opportunities are the need for quality article and content writers. If you have a passion for writing and possess a strong grasp of the English language, you are already halfway to becoming a freelance article writer. In order to be amongst successful freelance article writers you must have a strong grasp of the English language. If you can prove yourself as a good article writer, you will be able to build a strong reputation for yourself over time.

When you first start as a freelance article writer, you will have to be persistent and not give up easily. It will be hard to avail jobs since you have not established yourself. You will also need to be prepared to accept low to average rates for your work. However, if writing is something that comes naturally to you, it wouldn’t take long to prove your worth and at the same time, establish your name amongst quality freelance article writers.

Research is an important aspect of freelance article writing. This is because in the goal to be a successful freelance writer, you should be versatile in your writing. You should not limit yourself to any specific writing style or subject. Maybe after you have established yourself in the freelance industry and know your strengths, then you could consider to go into a specific niche article market writing (children’s articles; health; travel and the likes).

The Internet provides the most opportunities for novice and experienced writers alike to make money writing from home. Here are few options that you can use in the beginning to earn money writing articles.

1. Content websites. The content websites or content providers have plenty of pros and cons. You can look for popular websites that publish content on its own sites such and even sells articles from its writers to other websites.

2. Local newspapers, magazines and newsletters. If you have a local connection, you’re more likely to freelance or “string” for such publications even without any real writing experience.

3. National newspapers, magazines, newsletters and trade journals. Unless you have considerable writing experience, do not waste your time pitching to these markets as a freelance article writer. Even the most experienced writers face stiff competition when trying to freelance for popular magazines and newspapers.

4. Job bidding websites. Websites offering job opportunities offer plenty of opportunities for article writers of all experiences and ability levels.

Before approaching any of these markets, update your resume to emphasize your experience as a freelance article writer. If you do not have any experience, get some quickly by starting-and actually writing-in a blog. If you’re eligible to write for a college newspaper, taking this step can also help move you forward. College publications can provide you plenty of opportunities with experienced article writers and editors, which can help you land amongst some very experienced writers.