Opioids prescribing trend between 2013 and 2017 in the Lisbon and Tagus Valley region, Portugal

Author(s):  
Daniel Caldeira ◽  
◽  
Paula Broeiro ◽  
Fátima Cimadeira ◽  
João Costa ◽  
...  
Author(s):  
Iram Shaifali ◽  
Rajib Karmakar ◽  
Shalini Chandra ◽  
Santosh Kumar

Background: Utilization pattern of antipsychotics has undergone a major shift as the newly introduced atypical antipsychotics have heralded the market. Hence continuous studies on current prescribing trends are needed to provide most updated, effective and rational treatment of psychoses.Methods: This cross-sectional prospective study was conducted at Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India. OPD tickets of the department of psychiatry for the year 2016-2017 were evaluated for a total of 310 cases. These prescriptions were used to determine the drug utilization of antipsychotics and for their appropriateness against the WHO recommended core prescribing indicators.Results: A total of 310 patients satisfied the inclusion criteria and a male predominance was seen (male:female= 1.3:1). The most common psychotic disorder diagnosed was schizophrenia (44%). Majority of the patients (76%) received monotherapy and the prescribing trend showed a higher use of atypical antipsychotics (89%) over typical ones (11%). The most commonly prescribed anti-psychotic drugs were olanzapine (31%), followed by risperidone (26%). On analysing prescriptions according to the WHO core prescribing indicators it was observed that average number of antipsychotics prescribed per prescription was 1.32. 24% of drugs were prescribed by generic name and 5.2% were administered via injectable route. Drugs prescribed from National list of Essential Medicine, 2015 constituted 46%.Conclusions: The high inclination towards the use of atypical antipsychotics observed in our study correlates with the global changing trends in the treatment of schizophrenia. WHO prescribing indicators should be adhered to, to impart rational prescribing.


2004 ◽  
Vol 8 (3) ◽  
pp. 347-362 ◽  
Author(s):  
J. Cabral ◽  
P. Ribeiro ◽  
P. Figueiredo ◽  
N. Pimentel ◽  
A. Martins

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Chien-Ying Lee ◽  
Chih-Jaan Tai ◽  
Ya-Fang Tsai ◽  
Yu-Hsiang Kuan ◽  
Chiu-Hsiang Lee ◽  
...  

We aimed to investigate the prescribing trend of antirheumatic drugs and assess the risk of cardiovascular disease in patients with rheumatoid arthritis in Taiwan. This study was a retrospective cohort study, conducted based on the Taiwan National Health Insurance Research Database. The study subjects were 15,366 new rheumatoid arthritis patients from 2003 to 2010. To avoid selection bias, we applied propensity score matching to obtain general patients, as the control group. Cox proportional hazard model was used to evaluate the risk of cardiovascular disease in rheumatoid arthritis patients. The most common prescriptions of rheumatoid arthritis were nonsteroidal anti-inflammatory drugs. After controlling for related variables, rheumatoid arthritis patients had a higher risk of cardiovascular disease than general patients (adjusted hazard ratio [aHR] = 1.31; 95% confidence interval [CI]: 1.23-1.39). Age was the most significantly associated risk factor with the cardiovascular disease. Other observed risk factors for cardiovascular disease included hypertension (aHR = 1.57, 95% CI: 1.48-1.65), diabetes mellitus (aHR = 1.47, 95% CI: 1.38-1.57), and chronic kidney disease (aHR = 1.48, 95% CI: 1.31-1.66). Patients with rheumatoid arthritis indeed had a higher risk of incident cardiovascular diseases. Besides, age, hypertension, diabetes mellitus, and chronic kidney disease were also associated with a higher risk of cardiovascular disease.


2007 ◽  
Vol 17 (1) ◽  
pp. 23-34 ◽  
Author(s):  
ELADIO L. GARCÍA DE LA MORENA ◽  
MANUEL B. MORALES ◽  
EDUARDO DE JUANA ◽  
FRANCISCO SUÁREZ

Developing a standardized survey methodology to census and estimate the size of wintering populations is a main conservation priority for the endangered Little Bustard. We present a standard and repeatable methodology to census wintering Little Bustard populations at a regional scale, and the first statistically reliable population estimate of a Little Bustard wintering population in Spain. We carried out two surveys, in 2003 and 2004, using UTM 10 km × 10 km squares as census units, which were subjected to stratified sampling over the species' potential distribution range in the region of Madrid (Central Spain). Only the areas of potentially suitable habitat within squares of known winter presence of the species were considered. The species' winter distribution in Madrid was fairly constant between years, showing a fragmented pattern in three main nuclei. The number of Little Bustards observed was consistent between surveys (752 and 786 birds, respectively), with birds grouped in an average of 32 flocks (1 to 350 birds, mean = 27.9 birds). No between-winter differences in flock size were observed, although differences between sectors were significant. The highest densities were observed in the Tagus valley (mean density = 2.9 birds km−2, 293 birds), followed by north-eastern farmland (mean density = 0.6 bird km−2, 269 birds). The estimated size of the Little Bustard population wintering in the Madrid region was 1,051 (95% CI = 1,043–1,231). This calculation was based on recorded population density, measured as the number of birds per square kilometre, and considers the potential habitats available in each sector. We propose this methodology as adequate for surveying any Little Bustard wintering area, at both regional and smaller spatial scales. Survey results are consistent with previous tentative estimates for the region of Madrid, and with available information on Little Bustard movements. Sixty-five per cent of squares with Little Bustard presence were outside any protected area, which makes the wintering Little Bustard population of Madrid highly vulnerable to habitat disappearance and may affect the viability of breeding nuclei whose individuals winter in the region.


2014 ◽  
Vol 52 (03) ◽  
pp. 245-254
Author(s):  
Awatif H.H. Damanhori ◽  
Khalid A.J. Al Khaja ◽  
Reginald P. Sequeira ◽  
Alwaleed K. Alkhaja

2004 ◽  
Vol 8 (3) ◽  
pp. 331-345 ◽  
Author(s):  
Susana P. Vilanova ◽  
Joao F.B.D. Fonseca

2015 ◽  
Vol 172 (9) ◽  
pp. 2411-2420 ◽  
Author(s):  
J. F. Borges ◽  
M. Bezzeghoud ◽  
B. Caldeira ◽  
João Carvalho

2016 ◽  
Vol 1 (18) ◽  
pp. 103-123 ◽  
Author(s):  
Pedro Miguel Oliveira ◽  
Maria Manuela Santos Natário

This paper aims to analyse the innovation performance, within a set of economic activities - namely the regional agrofood supply chain - that characterize the pattern of productive specialization of Tagus Valley, under the hypothesis of several determinant factors, of entrepreneurial and/or territorial nature, framed by an analysis model extensible to other regions.  Following an investigation of interpretative nature, methodology for collecting data was guided through triangulation of sources: direct observation; semi-structured interviews to individuals representing the various categories of agents involved, and documentary research. These were complemented with an inquiry to business agents, whose data were subject to statistical treatment. Besides the identification of an important set of deficits of institutional nature, inhibitors of innovation performance, the study also allowed formulating various proposals for the purpose of territorial governance, highlighting the need to strengthen the transfer of knowledge to the micro and small companies engaged in agricultural activities. In general, this paper proposes an analytical framework to a better understanding of innovation dynamics in any region according to its specificities including the role of public institutions in this process.


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