Wonca Europe 2014, Lisbon: Chronic use of bzp
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This study examined the prevalence and factors associated with long-term benzodiazepine use (≥3 months) among 620 older adults. The researchers found that one-third of the study population were long-term benzodiazepine users. Long-term use was significantly associated with being female, having multiple medications, and depression. It was also associated with better functional status and increased social support. The researchers concluded that women with many medications and depression were most commonly long-term benzodiazepine users and that interventions by general practitioners could help reduce long-term use among the elderly.
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This document provides a summary of the education and professional experience of Oleksandr
Dluhopolskyi. It lists his positions as Professor of Economic Theory at Ternopil National Economic
University since 2014, as well as other past roles. It also outlines his scientific activities including
publishing over 100 papers and receiving awards for published works. Key research areas and participation
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Southwest airlines
Southwest airlines PowerPoint templates designed by skilled, experienced and professional graphic designers that are intended to solve the big issue of time consumption. These are fully editable slides and organized in a way to simplify the most complex topics and present it in an attractive manner. You can easily incorporate charts, diagrams and animations along with the content to these layouts in order to explore new technologies and trends of businesses in a unique way. All editable slides are digitally created to pinpoint and clarify the message, and summarize information regarding topic.
Success stares
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Design thinking prototyp
The document discusses creating a "Me-Book" or "Me-Wall" to help a graduate student build confidence in a new field and country with low income. It recommends the student make a binder or use wall space to document achievements, challenges overcome, and inspirational quotes. Specific sections in the binder track achievements, challenges, ideas to address challenges, and notes. The wall could alternatively display inspirations with options to move items to the binder. Feedback on the idea was positive, with suggestions to simplify the wall's focus to achievements while keeping challenges and ideas in the binder.
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Síndome de L-N.pdf
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This study proposes a multidisciplinary intervention to safely deprescribe benzodiazepines in elderly patients using a 3Es model of educating patients and providers, empowering patients, and engaging stakeholders. The intervention will be implemented in six phases and evaluated based on reductions in benzodiazepine prescriptions and secondary outcomes like falls. The goal is to reduce benzodiazepine prescriptions by 50% within six months through a personalized approach focusing on patient education, empowerment, and engagement of all involved parties.
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Original ArticleDesign and implementation of a randomized.docx
Original Article
Design and implementation of a randomized
trial evaluating systematic care for bipolar
disorder
Abundant evidence demonstrates that treatments
for bipolar disorder can reduce the severity of
mood symptoms and improve daily functioning.
Specific pharmacotherapies have been proven effi-
cacious in the acute management of mania and
depression (1, 2) as well as in the prevention of
recurrence (1). For lithium, more intensive treat-
ment has been shown to improve both long-term
clinical outcomes and psychosocial functioning.
Promising evidence also supports the efficacy of
several disease-specific psychosocial interventions
for bipolar disorder (3, 4).
Unfortunately, treatments provided in everyday
practice fall far short of those proven in clinical
Simon GE, Ludman E, Unützer J, Bauer MS. Design and implementation
of a randomized trial evaluating systematic care for bipolar disorder.
Bipolar Disord 2002: 4: 226–236. ª Blackwell Munksgaard, 2002
Objectives: Everyday care of bipolar disorder typically falls short of
evidence-based practice. This report describes the design and
implementation of a randomized trial evaluating a systematic program to
improve quality and continuity of care for bipolar disorder.
Methods: Computerized records of a large health plan were used to
identify all patients treated for bipolar disorder. Following a baseline
diagnostic assessment, eligible and consenting patients were randomly
assigned to either continued usual care or a multifaceted intervention
program including: development of a collaborative treatment plan,
monthly telephone monitoring by a dedicated nurse care manager,
feedback of monitoring results and algorithm-based medication
recommendations to treating mental health providers, as-needed outreach
and care coordination, and a structured psychoeducational group
program (the Life Goals Program by Bauer and McBride) delivered by the
nurse care manager. Blinded assessments of clinical outcomes, functional
outcomes, and treatment process were conducted every 3 months for
24 months.
Results: A total of 441 patients (64% of those eligible) consented to
participate and 43% of enrolled patients met criteria for current major
depressive episode, manic episode, or hypomanic episode. An additional
39% reported significant subthreshold symptoms, and 18% reported
minimal or no current mood symptoms. Of patients assigned to the
intervention program, 94% participated in telephone monitoring and 70%
attended at least one group session.
Conclusions: In a population-based sample of patients treated for bipolar
disorder, approximately two-thirds agreed to participate in a randomized
trial comparing alternative treatment strategies. Nearly all patients
accepted regular telephone monitoring and over two-thirds joined a
structured group program. Future reports will describe clinical
effectiveness and cost-effectiveness of the intervention program compared
with usual care.
Gregory E Simona, Evette
Lud.
L468291.pdf
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Learning Disabilities: Share and Learn webinar - 26 May 2016
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Giloy in Ayurveda - Classical Categorization and Synonyms
Wonca Europe 2014, Lisbon: Chronic use of bzp
- 1. Clinical characteristics of chronic elderly Benzodiazepines consumers Authors: G. Vazquez, G. Rovira , B. Jiménez, R. Moteserín
- 2. Objective • To study the prevalence of long-term use of benzodiazepines (≥3 months) and the factors associated with its use
- 3. Background • Long-term use of benzodiazepines (BZDs) is very common phenomenon. It is important to know which short-term users are at risk of becoming long-term users. • Not only is such use ineffective, but it also has several risks such as memory impairment and risk of falls (especially in elderly) in addition to dependence risk. • Despite its addictive potential effect and the long term adverse effects, it remain as first choice worldwide for the management of anxiety and insomnia.
- 4. Material and Methods • Design: Cross-sectional study. • Scope: Urban health center • Participants: 620 community older adults (up to 74 years). • Exclusion criteria: i. Severe cognitive impairment ii. Terminal illness iii. Inability to attend the center autonomously
- 5. • Variables Measured: i. Socio-demographic characteristics ii. Clinical and mental health (comorbidity, geriatric syndromes, chronic medication) iii. Cognitive/affective studio (Mini-Mental Stat Examination, Yesavage-5) iv. Functionality (Barthel Index of Activities of Daily Living) v. Nutrition and social state (Mini Nutritional Assessment, Social Gijon Scale)
- 6. Results (I) Long term use of benzodiazepines was significantly associated with:
- 7. Results (II) Other geriatric conditions frequently associated were:
- 8. Results (III) Association was also found in those with high scores on Barthel Index, Gijón Scale and Yesavage-5 Scale
- 9. Results (IV) PHOTO FINISH: The consume of long term Benzodiazepines was associated with:
- 10. Conclusions: • Elderly people are heavy users of Benzodiazepines (1/3 study population) • Data suggest that women with polyfarmacy and depression are the most commune long term consumers. • Interventions performed by GP may help patients to discontinue or reduce the number of elderly people becoming long-term users. • It is important to design interventions in order to improve the appropriately use of this medication
- 11. Thank you so much for your attention!
Editor's Notes
- Síndromes geriátricos: deterioro cognitivo, inmovilidad, incontinencia, caídas de repetición, insomnio, ulceras de presión, estreñimiento, malnutrición, iatrogenia, polifarmacia, deshidratación, depresión, It is worthwhile to investigate which factors are associated with long-term use. For instance, comparing psychiatric morbidity and psychosocial circumstances in long-term users might identify such risk factors