Medication adherence in migraine patients (data of an online survey)

2021 ◽  
Vol 13 (4) ◽  
pp. 81-87
Author(s):  
N. A. Kovalchuk ◽  
E. A. Kiryanova ◽  
G. R. Tabeeva

Patient needs, drug intake patterns, and adherence to therapy are significant challenges in the management of migraine patients.Objective: to identify drug treatment needs, drug use patterns and adherence factors in migraine patients.Patients and methods. An online survey was conducted among Internet users through social networks (Instagram, Facebook, Vkontakte) from 01/22/2020 to 02/22/2020. The selection of respondents was based on an anamnesis of headaches and passing the ID Migraine screener. One thousand five hundred ninety-eight individuals (93.8% women and 6.2% men) aged 18—39years participated in the survey.Results and discussion. Among 1598 participants, 1490 experienced any headache, 937 respondents noted migraine symptoms, and 542 (58.4%) had a migraine diagnosis. 899 (96%) of responders used medications to relieve headaches, and in 59% of them drugs were self-prescribed. 125 (13%) patients received prophylactic therapy for migraine, of which only 47 (37.6%) complied with the prescribed treatment. We found a significant (p=0.019) association between the degree of adherence to therapy and the number of days with migraine.Conclusion. The study revealed a low referral rate in patients with headaches. In addition, more than half self-prescribed the drug for headache relief, and only a third of patients complied with the prescribed prophylactic treatment.

Author(s):  
Asma Al-Turkait ◽  
Lisa Szatkowski ◽  
Imti Choonara ◽  
Shalini Ojha

Rational prescribing is challenging in neonatology. Drug utilization studies help identify and define the problem. We performed a review of the literature on drug use in neonatal units and describe global variations. We searched databases (EMBASE, CINAHL and Medline) from inception to July 2020, screened studies and extracted relevant data (two reviewers). The search revealed 573 studies of which 84 were included. India (n = 14) and the USA (n = 13) reported the most. Data collection was prospective (n = 56) and retrospective (n = 26), mostly (n = 52) from one center only. Sixty studies described general drug use in 34 to 450,386 infants (median (IQR) 190 (91–767)) over a median (IQR) of 6 (3–18) months. Of the participants, 20–87% were preterm. The mean number of drugs per infant (range 11.1 to 1.7, pooled mean (SD) 4 (2.4)) was high with some reporting very high burden (≥30 drugs per infant in 8 studies). This was not associated with the proportion of preterm infants included. Antibiotics were the most frequently used drug. Drug use patterns were generally uniform with some variation in antibiotic use and more use of phenobarbitone in Asia. This study provides a global perspective on drug utilization in neonates and highlights the need for better quality information to assess rational prescribing.


2020 ◽  
pp. 102986492097216
Author(s):  
Gaelen Thomas Dickson ◽  
Emery Schubert

Background: Music is thought to be beneficial as a sleep aid. However, little research has explicitly investigated the specific characteristics of music that aid sleep and some researchers assume that music described as generically sedative (slow, with low rhythmic activity) is necessarily conducive to sleep, without directly interrogating this assumption. This study aimed to ascertain the features of music that aid sleep. Method: As part of an online survey, 161 students reported the pieces of music they had used to aid sleep, successfully or unsuccessfully. The participants reported 167 pieces, some more often than others. Nine features of the pieces were analyzed using a combination of music information retrieval methods and aural analysis. Results: Of the pieces reported by participants, 78% were successful in aiding sleep. The features they had in common were that (a) their main frequency register was middle range frequencies; (b) their tempo was medium; (c) their articulation was legato; (d) they were in the major mode, and (e) lyrics were present. They differed from pieces that were unsuccessful in aiding sleep in that (a) their main frequency register was lower; (b) their articulation was legato, and (c) they excluded high rhythmic activity. Conclusion: Music that aids sleep is not necessarily sedative music, as defined in the literature, but some features of sedative music are associated with aiding sleep. In the present study, we identified the specific features of music that were reported to have been successful and unsuccessful in aiding sleep. The identification of these features has important implications for the selection of pieces of music used in research on sleep.


2021 ◽  
pp. 027347532199210
Author(s):  
Else-Marie van den Herik ◽  
Tim M. Benning

Free-riding is a serious challenge in group projects. While there are various methods to reduce free-riding, marketing educators still face a difficult task when selecting an appropriate method for their course. In this study, we propose a students’ preferences-based approach that supports marketing educators with the selection of methods to detect and handle free-riding. To measure these preferences, students completed an online survey based on a choice task about two methods to detect free-riding and a ranking task about four methods to handle free-riding ( n = 254). Their answers were analyzed using chi-squared tests, Borda scores, and rank-ordered logit models. The results show that (a) neither Dutch nor international students have a clear preference for one of the two detection methods (the reporting system vs. the process evaluation system), (b) grade discussion (a possible reduction of the free-rider’s grade based on a conversation with the course coordinator about each student’s contribution) is the most preferred method to handle free-riding, and (c) international students have a stronger preference for stricter handling methods. Marketing educators can apply the proposed approach, or use our specific findings, for designing methods to reduce free-riding in their courses.


1976 ◽  
Vol 5 (2) ◽  
pp. 17-23
Author(s):  
Samuel E. Krug ◽  
Thomas J. Henry

1979 ◽  
Vol 9 (1) ◽  
pp. 67-78 ◽  
Author(s):  
Carol J. Turner ◽  
Robert J. Willis

As part of an extensive questionnaire on student drug use patterns at a small private college, this study was completed to determine the relationship between self-reported religiosity of college students and 1) the nature and incidence of current drug usage, 2) reasons for abstaining from drug use, 3) acceptable sources for referral in case of drug problems, and 4) persons with whom students would discuss their attitudes toward drugs. Statistically significant differences between religious and non-religious students at the 0.01 level were found in the current use of alcohol and marijuana, in reasons for abstaining from marijuana, amphetamines, barbiturates, and hallucinogens; in referral of drug problems to drug wise friends; and in discussing drug attitudes with parents and with college counselors.


2017 ◽  
Vol 61 (5) ◽  
pp. 612-618 ◽  
Author(s):  
Scott E. Hadland ◽  
Evan Wood ◽  
Ekaterina Nosova ◽  
Thomas Kerr ◽  
Kora DeBeck

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