scholarly journals VIII Russian National Congress "Man and Cure"

2001 ◽  
Vol 82 (5) ◽  
pp. 412-412
Author(s):  
N. B. Amirov
Keyword(s):  
Cardiovascular Diseases ◽  
Mortality Rate ◽  
Russian Population ◽  
Morbidity Rate ◽  
Parasitic Diseases ◽  
Rational Use ◽  
Deputy Minister ◽  
Rational Use Of Medicines ◽  
National Congress ◽  
All Diseases

A. I. Vyalkov, First Deputy Minister of Health, made a plenary report "The System of Rational Use of Medicines in Russia". He noted that in recent years the mortality rate among able-bodied population has increased by 54%. In the period from 1999 to 2000 the Russian population morbidity rate for all diseases was growing, mostly due to cardiovascular diseases, infectious and parasitic diseases, as well as tuberculosis.

Pylorus-Preserving Pancreaticoduodenectomy: Evaluation of 50 Cases

2017 ◽  
Vol 13 (1) ◽  
pp. 42-45
Author(s):  
SM Shakhwat Hossain ◽  
Ferdous Rahman
Keyword(s):  
Gastric Emptying ◽  
Mortality Rate ◽  
Wound Infection ◽  
Postoperative Mortality ◽  
Operation Time ◽  
Armed Forces ◽  
Military Hospital ◽  
Morbidity Rate ◽  
Proper Patient Selection ◽  
Periampullary Neoplasms

Introduction: Pancreaticoduodenectomy is the procedure of choice for periampullary neoplasms. It is considered as a major surgical procedure. It is associated with relatively higher postoperative mortality and morbidity rate, however, with development of technology, proper patient selection, meticulous operative technique, appropriate postoperative care, morbidity and mortality rate has decreased subsequently. Up to the 1970s, the operative mortality rate after pancreaticoduodenectomy approached 20% but it has been reduced to less than 5% in recent reports. This study is designed to evaluate the postoperative outcomes of pylorus-preserving pancreaticoduodenectomy procedure in our set up. Objective: To evaluate the outcome of the pylorus-preserving pancreaticoduodenectomy procedure with the intention to measure operation time and per-operative bleeding, observing postoperative anastomotic leakage and gastric emptying time. To find out postoperative wound infection and complications to detect the dumping syndrome. Materials and Methods: A prospective observational study was carried out in the Department of Hepatobiliary Surgery, Combined Military Hospital, Dhaka from July 2013 to January 2017. Fifty patients who underwent pylorus-preserving pancreaticodudenectomy procedure were included in this study. Results: Out of 50 postoperative patients, 12(24%) patients developed complications. Of these patients, 3(6%) developed wound infection, 2(4%) developed bile leakage and 2(4%) developed postoperative haemorrhage. Pancreatic fistula, vomiting, delayed gastric emptying and abdominal collection all were 1(2%) each. Postoperative mortality was 3(6%). Conclusion: The present study demonstrated the development of postoperative complications after pylorus-preserving pancreaticoduodenectomy is as similar as published in different studies. Better outcome can be achieved with meticulous pre-operative evaluation of risk factors and per-operative skill maneuvering. Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 42-45

Open and laparoscopic surgeries are associated with comparable 90 day morbidities and mortalities following ERAS protocols- A retrospective Study. (Preprint)

2020 ◽  
Author(s):  
BHAVIN VASAVADA ◽  
Hardik Patel
Keyword(s):  
Multivariate Analysis ◽  
Retrospective Study ◽  
Mortality Rate ◽  
Operative Time ◽  
Univariate Analysis ◽  
Morbidity And Mortality ◽  
Morbidity Rate ◽  
Blood Products ◽  
Asa Score

UNSTRUCTURED All the gastrointestinal surgeries performed between April 2016 to march 2019 in our institution have been analysed for morbidity and mortality after ERAS protocols and data was collected prospectively. We performed 245 gastrointestinal and hepato-biliary surgeries between April 2016 to march 2019. Mean age of patients was 50.96 years. 135 were open surgeries and 110 were laparoscopic surgeries. Mean ASA score was 2.40, mean operative time was 111 minutes, mean CDC grade of surgery was 2.56. 40 were emergency surgeries and 205 were elective surgeries. Overall 90 days mortality rate was 8.5% and over all morbidity rate was around 9.79% . On univariate analysis morbidity was associated significantly with higher CDC grade of surgeries, higher ASA grade, more operative time, more blood products use, more hospitalstay, open surgeries,HPB surgeries and luminal surgeries(non hpb gastrointestinal surgeries) were associated with higher 90 days morbidity. On multivariate analysis no factors independently predicted morbidity. On univariate analysis 90 days mortality was predicted by grade of surgeries, higher ASA grade, more operative time, more blood products use, open surgeries and emergency surgeries. However on multivariate analysis only more blood products used was independently associated with mortality There is no difference between 90 day mortality and moribidity rates between open and laparoscopic surgeries.

Redefining the “rational use of medicines”

2021 ◽  
Vol 20 ◽  
pp. 100381
Author(s):  
Gorka Orive ◽  
Saioa Domingo-Echaburu ◽  
Unax Lertxundi
Keyword(s):  
Rational Use ◽  
Rational Use Of Medicines

scholarly journals Practice of dispensing antimicrobial medicines from community pharmacies

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Amirkhanyan ◽  
L Vardanyan ◽  
A Sevikyan ◽  
I Kazaryan ◽  
M Melikyan
Keyword(s):  
Antimicrobial Resistance ◽  
Public Awareness ◽  
Family Members ◽  
Professional Knowledge ◽  
Community Pharmacies ◽  
Rational Use ◽  
Rational Use Of Medicines ◽  
Inappropriate Use ◽  
Otc Medicines

Abstract Background Inappropriate use of antimicrobial medicines is one of the main causes of antimicrobial resistance (AMR). The objective of this work was to study the situation on dispensing antimicrobials from pharmacy outlets in Armenia. Methods The study was implemented in 30 community pharmacies from different regions of Yerevan. Medicines dispensed to 900 patients/caregivers (30 visitors in each pharmacy outlet) were analyzed. The following indicators were calculated: the percentage of antimicrobials prescribed by physicians, the percentage of visitors, who got antimicrobials without providing a prescription and so on. Results Antimicribials (n = 171) consisted 11.3% of all the dispensed medicines (N = 1513). Only 25 (14.6%) antimicrobials were dispensed to visitors who had prescriptions. Only 19 (12.6%) of 151 medicines provided without prescription were OTC-medicines, other 132 (87.4%) were prescription only medicines. According to information received from visitors, 58.5% of all dispensed antimicrobials were selected by physicians, 10.5% of antimicrobials were advised by pharmacists and almost one third was selected by patients, family members, etc. More than 90% of the total number of visitors, whom antimicrobials were dispensed, got them without providing a prescription. 13 patients received 2 and more antimicrobials. Conclusions Many prescription only antimicrobials are dispensed from community pharmacies without prescription and some medicines are not prescribed by physicians. That means many antimicrobials are used inappropriately. There is need in strategy that could prevent dispensing antimicrobials without prescription. Key messages Dispensing prescription only antimicrobials without prescription can compromise rational use of medicines. Professional knowledge and public awareness about AMR should be improved.

scholarly journals Predisposing factors to the practice of self-medication in Brazil: Results from the National Survey on Access, Use and Promotion of Rational Use of Medicines (PNAUM)

PLoS ONE ◽  
2017 ◽  
Vol 12 (12) ◽  
pp. e0189098 ◽  
Author(s):  
Emilia da Silva Pons ◽  
Daniela Riva Knauth ◽  
Álvaro Vigo ◽  
Sotero Serrate Mengue ◽  
Keyword(s):  
National Survey ◽  
Predisposing Factors ◽  
Self Medication ◽  
Rational Use ◽  
Rational Use Of Medicines

Rational Use of Medicines: An Audit of Private Practitioners’ Prescription

2012 ◽  
Vol 14 (3) ◽  
pp. 297-303
Author(s):  
Shiv Dutt Gupta ◽  
Vivek Lal ◽  
Vinod Kumar S.V.
Keyword(s):  
Rational Use ◽  
Rational Use Of Medicines ◽  
Private Practitioners

scholarly journals A bibliometric study of publication patterns in rational use of medicines in Iran

2013 ◽  
Vol 11 (1) ◽  
pp. 38-43 ◽  
Author(s):  
Sarah Mousavi ◽  
Ava Mansouri ◽  
Alireza Ahmadvand
Keyword(s):  
Bibliometric Study ◽  
Rational Use ◽  
Rational Use Of Medicines ◽  
Publication Patterns
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