Ice/Water Dispensers ; Milkshake Machines & Smoothie Makers ; Search. Best travel pill organizers: Lizimandu Weekly Travel. Accucold 56 Inch Wide 49 Cu. For the purpose of these guidelines, the Board defines dispensing as:SINGAPORE — An automated vaccine dispenser, developed in Singapore in just six weeks, has been deployed to at least seven vaccination centres to take away the need for syringes to be filled. Anzero Pets Feed Solid Pills Gun Pet Pill Dispenser Dog Pill Dispenser Cat Pill Shooter Tablet Soft Tip Syringe Pet Medical Feeding Dispenser for Small Pet. Compliance To meet the COVID-19. Soda vending machines and snack machines make it easy to offer a variety of beverage and snack options. The UK’s largest medicine dispensing robot has helped with the vaccine rollout using Amazon-style technology. 7. In addition, CVS Pharmacy will be participating in the CDC’s Bridge Access Program. This dispenser used adjustable air pressure to dispense. 0:00. I. 98. In most cases, the Executive Officer will only pay a dispenser a maximum of 2 dispensing fees per 28 days for the supply of a listed drug product, even if the prescription directs more frequent dispensing. Of that, $2 goes to VendRx as a transaction fee,. The 12. About TruMed Systems, Inc. Fill-It offers improved consistency and shortens process times compared to manual processing, giving the potential to increase batch sizes for cell banking and dramatically reduce QC costs. Telehealth modalities increasingly used for medication management. 5 variant Novavax COVID-19 Vaccine, Adjuvanted, which is recommended by CDC for use in individuals 12 years and. 22 A pharmacy storage room ,Drugs are arranging and stored on a glass shelf in a pharmacy. , Pfizer-Pfizer COVID-19 vaccine: This vaccine product has an expiration date located on the vaccine vial. The Allflex automatic self-filling syringes accurately deliver the selected dose in an easy V-grip design for high-volume use. Santiago/Getty Images) SAN FRANCISCO — Vending machines give us candy bars, soda, headphones and even. If some dispensing sites doHRX Package Weekly Deep Capacity Pill Tray Organizer,7 Day Large Pill Box Dispenser 4 Times a Day, AM/PM Pop-Out Pill Planner. Background: The MySafe program provides pharmaceutical-grade opioids to participants with opioid use disorder via a biometric dispensing machine. Rabies vaccinations should only be given to ferrets at least 3 months of age. “What that means is that they change the virus in. S. 5. 5. Packaging options include state-of-the-art bar-coded, blister-packaged oral solid and liquid medications. and the AccuVax Vaccine Management System: AccuVax is the fastest growing vaccine storage and handling solution in use at individual clinics, major health systems, and. The smart machines have digital screens and work like vending machines, giving free harm-reduction supplies. In this review, we will first briefly explain the infection mechanisms of COVID‐19 in Section 2, then present the latest developments of nasally inhaled therapeutics and vaccines for COVID‐19 management in Section 3. 01% thimerosal. Vaccine carriers can be grouped into two range categories: 1. CVS Pharmacy also accepts walk-ins, seven days a week, including during evening and weekend hours. Dispenser with push-button control dispenses tape to one of three selectable lengths. We might request evidence. 2021. The machine features a 7-inch touchscreen, three adjustable product trays and a bill acceptor that can accept $1, $5 and $10 bills. Kirkland Signature Chunks in Gravy, Canned Cat Food Variety Pack, 3 oz, 40-count. 2. A United States Pharmacopeia (USP) patient safety report noted that between July 2001 and December 2005, a startling 13 339 medication errors involving automated dispensing machines had been reported to the MEDMARX adverse-event reporting program. Pharmacy coverage you can count on. Buy AllFlex Ultra Precision Bottle Mount Auto Syringe Self-Refilling Heavy-Duty 2ml: Pipettes & Pipettors - Amazon. When you invest in our pharmacy automation technology, you will: Save on pharmacy staff and operational costs. Within the past three months, these new vending machines have been added in the lobbies of six other county jails across North Carolina, along with the Forsyth location. Nearly 13,000 safer drug use items have been dispensed since March 2021. ; Select the manufacturer and product from the drop-down menus. Still, the process ran smoothly, and wait times. Small Business. Objectives: The current systematic review (SR) was undertaken to identify and summarise the published literature reporting on the clinical and economic value of automated in-hospital pharmacy services with a primary focus on systems supporting the dispensing of medicines. At this time, a second booster dose is not required to remain compliant with the UC Vaccine Mandate. For instance, IBM's Digital Health Pass serves as a. 2. vial or syringe) that holds the vaccine. The prescriber must write the prior authorization number on the fiscal order and the dispenser completes the authorization process by calling (866) 211-1736. 4. Artificial intelligence as game changer. CIPS interfaces with the. SAN DIEGO--(BUSINESS WIRE)-- TruMed® Systems, Inc. $109. Videos. Access to government-secured flu stock in 2020/21 included a requirement for GP practices to engage in a post payment review of reimbursement payments. COVID-19 Medical Care. Typical errors include the healthcare provider writing the wrong medication, the wrong route or dose, or the wrong frequency. Finally, an or-ganizational downtime and recovery policy and procedure should be devel-oped and implemented to minimize disruptions in patient care. High-speed, low-maintenance dispenser for pressure-sensitive labels. Step 6: You will be taken to a page where there will be a list of the nearest vaccine center and the availability of the stock. Must protect from freezing temperatures anywhere in. This is a medication administration best practice standard. 1 There is no doubt that these. 6 Clean rooms and clean-air devices should be classifi ed in accordance with ISO 14644 (2–3, 5–7). “Since the demand for Covid-19 vaccines is high, the automatic dispenser was developed to use each vial effectively,” he said. When the description is preceded by a “*”, voice interactive telephone prior authorization is required. Home vending machines that offer single-serve coffees and teas are popular beverage vending machine options. 99 $149. June 11, 2018. . 12 Oct 2021. N) and BioNTech over the use of mRNA technology and that a U. 1,707. You can place, view, and manage your inventory requests on the Inventory tab in VAMS. 1 Count (Pack of 1) 4. D. • For direct ship vaccines from Merck, check the shipment date located on the packing list. Obtain consent or assent, based on state or local requirements. 4. “CVS Health is prepared to play a prominent role in administering COVID-19 vaccinations to the general public, which builds on our previously announced agreement. 98 $ 7. Administering. The proprietary and patented technology of all McKesson Pharmacy Automation (MPA) Script Count systems provide users the ability to dramatically increase production throughput and ensure that all prescription orders leaving their facility are 100% accurate. High Efficiency Stackable Front Load Washer with Steam and Load & Go XL Dispenser - Chrome Shadow. e. An indexed animal drug is a drug on FDA’s Index of Legally Marketed Unapproved New Animal Drugs for Minor Species, referred to simply as “the Index. Most of 1-inch toy vending machines will vend acorn and round toy capsules. $1,396. Specially designed, Nordson EFD dispensing robots are compatible with all of our syringe-based and valve-based automated and non-automated dispensing systems and are suitable for a wide range of applications, from inline to batch dispensing. His areas of study include infectious diseases and biological and emergency preparedness for hospital systems. $34. Pharmacy Statutes & Regulations. McKesson Medical-Surgical offers a vast selection of vaccines including hepatitis vaccine, meningitis vaccine, pneumonia vaccine, shingles vaccine, and more. 1 . Americans will soon find a new vending machine item in grocery stores, shopping malls, airports and subway stations around the country. . Our 3M™ Mix & Dispense Equipment includes a family of portable electric mixers for proper mixing and dispensing of 3M™ Sealants. Automated dose dispensing (ADD) may serve to enhance medication safety, particularly among elderly outpatients with multiple medications. FREE delivery Nov 22 - 29. 99. 99. The distemper vaccine is a shot for dogs that will protect them from getting infected with the virus once they’ve received all the required doses. 4 litres. Primary package: The container (i. For the most current and complete list of regular and seasonal commercial vaccines available to your pharmacy, please contact us directly at 1-855-625-6285 or contact us online . COVID-19 Medical Care. 28 products. But in the 1980s, a rising number of physicians in the United States began bypassing pharmacies and selling certain drugs. Background Failure mode and effects analysis (FMEA) is a prospective, team based, structured process used to identify system failures of high risk processes before they occur. territories and freely associated states. Learn More . Paint Brushes. and the AccuVax Vaccine Management System: AccuVax is the fastest growing vaccine storage and handling solution in use at individual clinics, major health systems, and. The Agency for Science, Technology and Research (A*STAR) has developed an Automated Vaccine Inoculation Dispenser (AVID) system, which replaces the manual step of filling injection syringes with vaccine liquid. Licensed vaccines administered by spray or aerosol are available for the following diseases:{"payload":{"allShortcutsEnabled":false,"fileTree":{"":{"items":[{"name":"3D Modles","path":"3D Modles","contentType":"directory"},{"name":"Arduino Libraries","path. From October. - System supports Pfizer-BioNTech COVID-19 Vaccine, could support Moderna Vaccine as well. CVS Health Corp. Students and employees can obtain up to 2 items from the vending machine per day by using their campus ID cards. , makers of the AccuVax Vaccine Management System, releases Patient Safety Checks feature for AccuVax ES. $6999 ($69. Right ePharmacy provides several services that really push the roles of automation, and on-demand services for drugs. 3. An intelligent vaccine dispenser. HOW IT WORKS. • Be placed in a room with good air circulation, ventilation, and stable room temperatures 20°C-25°C. Cameron Wolfe is an infectious disease specialist at Duke Health and an associate professor at the Duke University School of Medicine. Searching for the best medical gloves for your healthcare practice? In a time when patient and provider safety is critical, we can deliver medical and surgical gloves. Physicians can distribute “immediate need. 10. Jefferies and VendRx, the automatic dispensing machine company, do make profit projections: A slide deck previously posted on the company’s website suggests that doctors add a $10 markup on each sale. 잔여백신 비동기 예약 매크로 디스코드 봇 (SJang1님 레포 포크). Toy vending machines for sale! Find the absolute BEST deal on toy vending machines. Data show that nurses and pharmacists. In either case, IT should be en-gaged to assist and help coordinate proper server security. remain separate but are co-packaged together and intended for dispensing as a single entity. Pharmacists are. A coffeemaker, coffee maker or coffee machine is a cooking appliance used to brew coffee. Enable single cell research with the HP D100 Single Cell Dispenser and boost lab productivity with the HP D300e Digital Dispenser. The COVID-19 vaccines are safe and effective, and are an important tool for ending the global pandemic. S. The first line is always easy to remember: It’s the drug. Typical: $2,507. Here's why it's a national model. Type Of Beverage: Napkins. This. In a large warehouse in a Citywest industrial park in southwest Dublin, sit a row of five tall freezers storing tiny vials of the coronavirus vaccine, probably the most. Dispensing sites are served from a single source of supply. government as a centralized distributor for COVID-19 vaccines that are refrigerated (2-8°C) or frozen (-20°C). The first of its kind in. After a growing public outrage by Palm Beach County residents and local government officials over COVID-19 vaccines only being administered at Publix stores, the Florida Division of Emergency. Improve accuracy, capacity, efficiency and quality. The machine seems to build on the principles of SodaStream, the home carbonation product that PepsiCo acquired in August 2018 for US$3. Only medication can be stored in unit medication refrigerators. Pharmaceutical manufacturers are under intense pressure to produce and distribute large quantities of vials and vaccines. Napkin Dimensions (mm X mm X mm): 630 x 425 x 140. Bustamante said. These ordering errors account for almost 50% of medication errors. In addition to predicting possible mutations, such tools can also be used to analyse the effectiveness of currently available medication on potential future variants and develop medicines and vaccines that are effective against them. This device can be fitted to a drone, which will use its GPS to reliably drop vaccines at 30ft intervals. Power source: Electric. Vaccine administration sites should adopt measures to protect empty COVID-19 vaccine vials and packaging from potential counterfeiting, including treating empty vials and packaging similarly to. CVS has equipped roughly 8,000 of its more than 9,000 U. In the case of COVID-19 research, this means the US government could order a corporation or university that invents a vaccine with federal funding to license the patent to others to make it. Hospitals are important sources of pollutants resulted from diagnostic, laboratory and research activities as well as medicine excretion by patients, which include active component of drugs and metabolite, chemicals, residues of pharmaceuticals, radioactive markers, iodinated contrast media, etc. The vending machine at 1676 Broadway is meant to reduce stigmas and barriers to services in the city's fight against overdose deaths. F. The following is a list of strategies for minimizing dispensing errors: 1. Glue-on-a-Roll Dispensers. We want to make sure you and your family have convenient access to the prescription drugs you need. SINGAPORE, Sept 30, 2021 - (ACN Newswire) - The Agency for Science, Technology and Research (A*STAR) has developed an Automated Vaccine Inoculation Dispenser (AVID) system, which replaces the manual step of filling injection syringes with vaccine liquid. The national protocol for administration of inactivated influenza vaccine, published by Public Health England (PHE) on 1 September 2021, sets out procedures for flu vaccination for this. Photo illustration: Amber Bragdon. Shop through a wide selection of Water Dispensers & Coolers at Amazon. The vaccine is not approved for use. In stock and ready to ship. Even the pharmacies that have dispensers or kiosks face new competition, noted Steinberg who explained that Amazon is looking at entering the prescription drug delivery business. Germany Dortmund 27. 2% resulted in some level of patient harm. Kraft Heinz is launching a customizable sauce dispenser with more than 200 possible combinations for restaurants. Each prescription filled by a Purdue student pharmacist is carefully checked by a licensed and registered pharmacist. For dispensing wide range of fluids such as Epoxies, Adhesives, Glues, Solvents, Lacquers, Oils, Greases, Inks, Sealants. Automated dispensing machines are controlled by computer programs that can fail unexpectedly. CDPH will change the available products according to usage patterns and suggestions from the community. m. With several vaccines proven highly efficacious (estimated at 94. Level 2 NVQ Certificate in Pharmacy Service Skills (5355-02) Qualification handbook for centres 500/9234/0 August 2017 Version 3. When asked how much time is saved, a Thomson Medical nurse manager using Avid told TODAY that it “takes about half the time to fill one syringe using. Use these guns for easy dispensing of 3M glue-on-a- roll. Ph 200 Rules of Practice and Procedure. When the vaccine supply is very limited, all vaccines should be dispensed to high-risk groups for best containment results. Also known as gear pumps, they produce a. CandyMachines. 6% for Moderna, Pfizer. Medical refrigeration, including pharmacy refrigerators & freezers, used for storing medication, vaccines & more. gov. Likely, that passerby’s knowledge saved a life. Automated drug dispensing system (ADDs) is an emerging technology positively impacts drug dispensing efficiency by minimizing medication errors. 309 commits. 5 per cent effectiveness rate and the Oxford/AstraZeneca vaccine reported efficacy results. Updating the software and connecting the unit to the pharmacy's own record management system can take time and should be done carefully to avoid future failures. e. Request a review. Vending option draws people who smoke drugs. 1To respond to the risks of manual dispensing and administration, automated solutions have been implemented in different medication distribution systems. A portable cooling system is also available for use when administering drugs and vaccines away from the practice. One form of the distemper vaccine for dogs is a modified-live virus vaccine. We manufacture commercial. It is responsbile for supplying 2. 2. The machines are stocked with items like naloxone -- a drug. While it was developed as a response to Covid-19, the method isSafety of Automated Dispensing Systems. 99 ($6. , Sept. Vaccine Dispenser – Immunization Unit (Cold Chain Store) | NYSC. 10. The UK’s largest medicine dispensing robot has helped with the vaccine rollout using Amazon-style technology. Fee-for-Service pharmacy claims are. Preservative-free live attenuated vaccines. This COVID-19 Vaccine Toolkit is for health care providers and includes information to describe: Medicare payment rates for administering COVID-19 vaccines, including a timeline of FDA approvals and EUA amendments for COVID-19 vaccines. HP donates D300e BioPrinters to NGOs, universities, and research institutions to accelerate drug and vaccine research to combat COVID–19. 3. S. Listed vaccines and those that have been reconstituted by the pharmacy. For more information, see What You Should Know for the 2023-2024. and similar appliances and devices wherein dispensing is governed by RA 8050 or the “Revised Optometry Law of 1995. Also, although there is no timetable for full FDA approval of the vaccines, once that occurs, then the requirement of the vaccine dispenser to affirmatively advise the patient of the option to. The idea of tiny disease-fighting machines working inside the human body can be traced at least as far back as the 1966 release of the movie “Fantastic Voyage,” in which a submarine and its. Color: White. John Dempsey Hospital (JDH) locations shall provide emergency backup power for essential dispensing systems including unit medication refrigerators as defined by the hospital. Reduce drug inventory. BACKGROUND. C-3PX, 19 Ph. People who are moderately or severely immunocompromised may get. Vending option draws people who smoke drugs. We have the longest track record of supporting pharmacy automation solutions—and a record 99. The vaccine is available at no-cost through most insurance plans. About Medical Countermeasures (MCM) Medical Countermeasures (MCM) are the medications (including vaccines, antiviral drugs, or antibiotics) needed to treat, protect or prophylaxis an identified population in accordance with public health guidelines and/or recommendations. Optical shops; and. In the event of system or power failure please reference Emergency Backup Procedures located in . Example Vaccine Administration Point of Dispensing (POD) Job Action Sheets (JAS) – Operational Roles . Compliance To meet the COVID-19. SCOPE : This policy applies to all John Dempsey Hospital Inpatient, ED, Perioperative, and. Introduction. We have all salaried primary care providers. The group recommends signing up for your local hospital’s “My Chart” for vaccine updates vaccines. After four cycles —and ultimately sampling only about 2% of the library—the team found high-performing small molecules that had never been found before. [2]Administering immunizations is a service that requires billing 2 lines for appropriate reimbursement: 1. One distributor provides all supply of a particular vaccine type to each dispensing site. The companies, which co-developed the automated vaccine inoculation dispenser (Avid), said that the machine was designed to address the labour-intensive steps of the vaccination process. Funding will be used to launch and expand programs including a Public Health Vending Machine Pilot Program. The company still needs to submit its soon-to-be-completed late-stage data to the Food and Drug. Vaccines are distributed in whole boxes only. m. Getting the best medication. 99. Thus, they could be used for the injection alternatively. Used vials should go into the sharps container. Although a decrease in the mean number of events reported was observed between the ADD system pre- (2. Complete with tubing. Narcan from machine reversed nearly 600 overdoses. Vaccine problems. $799. The protocol states that […] Company continues to innovate and to meet customers where they are with unparalleled access to on-the-go solutions. ₹ 2,50,000/ Piece Get Latest Price. 2020-024 on 20 August 2020 to provide updated guidelines for the application of FDA Authorizations amidst the Coronavirus Disease 2019 (COVID-19) pandemic and congruent with Presidential Proclamation No. Being scared of the world ha…”Select Options. The last pickup for the week is Friday at 10:00 am. When you purchase a prescription, the total cost includes: the cost of the drug; a dispensing fee of up to $12. The effects of COVID-19 have profoundly impacted drug use and public health spending. View. Prophylaxis A medicine, vaccine or device used to prevent disease SNS Strategic National Stockpile SECURES Secure Electronic Communication, Urgent Response, and Exchange. Country of Origin: Made in India. g. “Since the demand for Covid-19 vaccines is high, the automatic dispenser was developed to use each vial effectively,” he said. Narcan from machine reversed nearly 600 overdoses. Robot sealant dispensing machines. Ft. 19 events/month) and post-implementation (1. Dispenser Type: Low Temperature. Black Friday Deal. September 19th, 2017 Medgadget Editors Medicine, Pediatrics. 99/Count) FREE delivery Tue, Nov 28. Or fastest delivery Wed, Nov 22 +7 colors/patterns. From accessing dose-level inventory with the touch of a finger to automatic checks on common vaccine errors before dispensing, AccuVax® makes vaccine storage handling and dispensing simple. Vaccine safety has been and will continue to be one of CDC’s top priorities. But when the vaccine supply exceeds a threshold, a switch in the dispensing strategy can be favorable and result in lower attack and mortality rates (Figure 9). Some of the innovative strategies implemented during the pandemic to deliver addiction treatment and medications to people with substance use disorders, such as mobile vans dispensing medications for opioid use disorder, could be leveraged to provide COVID-19 vaccines as well. BAXA ExactaMed Oral Liquid Medication Syringe 3cc/3mL 10/PK Amber Medicine Dose Dispenser with Cap Exacta-Med Baxter Comar Latex Free. (2927) Compare Product. Coca-Cola Freestyle® 7100 gives today’s demanding consumers variety they want. The Inventory tab also shows you a list of all. Connect to oil dispensers to brush lubricant onto chain, gears, and conveyors. Monitoring. The US automated dispensing machines market has increased significantly during the years 2018-2019, and projections are made that the market would rise in the next four years i. , well-known for its Covid-19 vaccine, reportedly filed the related patent application at the United States Patent and Trademark Office, without mentioning the names of three United States government scientists, working for the. ”. Dispensing robots allow manufacturers to repeatedly and reliably dispense patterns of liquid material on a programmed basis, resulting in improved process efficiencies, minimal material waste. Digital Media Vending International Llc. The dispensing and refilling mechanism is. AccuVax is the only vaccine storage and management system that automates vaccine. The second internal layout provides more detailed. Dispensing robots. dispense: [verb] to divide and share out according to a plan : to deal out in portions. Claim: mRNA from COVID-19 vaccines has entered the food supply via genetically modified plants bred to contain it or through the consumption of vaccinated livestock. Wayne State University in Michigan has already installed 15 naloxone vending machines in public squares, local jails and its own campus in Detroit. . Choose from our selection of oil lubrication systems, including machine-mount oil dispensers, machine-mount oil-dispensing pumps, and more. GreeVis USB Token Dispenser with Auto Cut Off Thermal Printer, Thermal Dot Method. Everyone aged 5 years and older ‡ 1 dose of an updated COVID-19 vaccine to protect against serious illness from COVID-19. The aerosolised vaccine is directly inhaled via a cup dispenser into the patient’s airway. Fill-It fits within standard biological. An option of free and paid vaccine will also be available. VIDEO A Wellness 4 Humanity Covid-19 Home Test Kit vending machine in New York. Our sample storage systems easily integrate with Hamilton Robotics liquid handing workstations, creating fully automated sample processing centers that support a broad range of life science. Kalen D’Almeida. I. 1%, 95%, 82%, and 91. Janome twin table desktop robot, model name/number: jr3000. . About this rating. ; Include information about how long the vaccines have been stored outside of their original cardboard packaging and if patients were vaccinated. 5 billion). Customer Service: For questions regarding policy and coverage information, call 1-800. The findings demonstrate that syringe dispensing machines and mobile vans are promising modalities of NSPs, which can make services more accessible to the target. Please call us at 619-594-4325 for an appointment or telephonic consultation. LabTec-Methadone Product Service & Maintenance. Department of Agriculture (USDA) National Rabies Management Program was established in recognition of the changing scope of rabies. $719. Katherine Tai, the US representative at the World Trade Organization, announced US support for a waiver on intellectual property for COVID vaccines on 5 May. Governments can impose compulsory licenses on vaccine makers, compelling them to share their know-how and overseeing the production process along the way. 727. Ohio Vaccine Hunters on Facebook is an active clearinghouse for COVID-19 vaccine information, with updates posted throughout the day. The company hopes to appeal to consumers looking for more variety, spiciness and. 5 Cu. Bar-coding is placed on every dose, allowing you to scan medications at the bedside and improve drug safety. These tools are helping researchers understand the virus and its structure, and predict. $26. VaxCare is a vaccine management solution that helps businesses across the healthcare industry streamline the entire vaccination workflow, from ordering to administration. 11: No licensee may obtain, possess, administer, dispense, distribute, or manufacture any controlled substance in this state, and no representative ofLook for 0. . . Label the vaccines ‘Do not use’ and isolate them from other vaccines; Use the Cold Chain Breach and Vaccine Wastage Form. 7, 2017 /PRNewswire/ -- CVS Pharmacy, the retail division of CVS Health (NYSE: CVS), today announced that the company is introducing automated retail vending machines stocked. 4. The COVID-19 vaccines are safe and effective, and are an important tool for ending the global pandemic. Medicare Part B (Medical Insurance) covers nebulizers (and some medicines used in nebulizers if considered reasonable and necessary). Health & Wellness. Long range: With a minimum cold life of 30 hours at 43°C ambient temperature. No appointment is necessary. , a cooperative of MONDRAGON CORPORATION whose mission is to improve people’s health and quality of life through technological solutions for pharmacies and other healthcare centres. Tape Dispensers. Taylor and investor Tim Wollaeger in 1987. But those pharmaceutical companies would. With the growth ofwill continue to install more vending machines and targets to have two machines in each of the 20 stations by early 2021. 1 Classifi cation should be clearly differentiated from operationalFinally, the viscosity of the vaccine and silicon was obtained in the range of 166–175 cP.