scholarly journals Deprescription: a global need to rationalize drug prescribing

Author(s):  
Subhash Vishal ◽  
Biswadeep Das ◽  
Shailendra Handu

Appropriate prescribing and deprescription of unwanted medicines are a global concern. Polypharmacy is common in old age due to multiple comorbidities. This poses many risks that can be prevented by deprescription as a measure of planned reduction in number of medicines no longer needed. For articles to be included in this narrative review, a non-systematic search of deprescription and related term was conducted at PubMed and Google Scholar database. Articles detailing deprescription in general were included whereas those about deprescription in a particular disease or of particular drug groups were excluded. The review discusses about related terms, process of deprescription, when it is to be planned, which patients need deprescription, tools available for appropriate prescription, importance of patient oriented deprescription, actual steps involved in deprescription, present scenario, future scope of trials and formulation of guidelines for deprescription, and finally current state of deprescription in India and actions needed. 

Mousaion ◽  
2016 ◽  
Vol 33 (3) ◽  
pp. 25-54
Author(s):  
Wanyenda Leonard Chilimo

 There is scant research-based evidence on the development and adoption of open access (OA) and institutional repositories (IRs) in Africa, and in Kenya in particular. This article reports on a study that attempted to fill that gap and provide feedback on the various OA projects and advocacy work currently underway in universities and research institutions in Kenya and in other developing countries. The article presents the findings of a descriptive study that set out to evaluate the current state of IRs in Kenya. Webometric approaches and interviews with IR managers were used to collect the data for the study. The findings showed that Kenya has made some progress in adopting OA with a total of 12 IRs currently listed in the Directory of Open Access Repositories (OpenDOAR) and five mandatory self-archiving policies listed in the Registry of Open Access Repositories Mandatory Archiving Policies (ROARMAP). Most of the IRs are owned by universities where theses and dissertations constitute the majority of the content type followed by journal articles. The results on the usage and impact of materials deposited in Kenyan IRs indicated that the most viewed publications in the repositories also received citations in Google Scholar, thereby signifying their impact and importance. The results also showed that there was a considerable interest in Swahili language publications among users of the repositories in Kenya.


2018 ◽  
Vol 24 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Alison Carver ◽  
Alanna Lorenzon ◽  
Jenny Veitch ◽  
Ashley Macleod ◽  
Takemi Sugiyama

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Ellison Henry ◽  
Zarrina H. Juraqulova

Introduction: Tajikistan’s dramatic shift from a high to a low fertility society has taken place over a little more than two decades. While some fertility beliefs remained the same throughout the rapid economic and political transitions of Tajikistan, other beliefs may have changed to respond to the financial realities of the newly independent and Central Asian republic, such as having fewer children. The objective of this review was to describe and analyze the state of family planning in the Republic of Tajikistan from Soviet period (1929-1991) until 2017.Methods: The review is based on materials obtained from various sources including Google Scholar and PubMed, relevant to family planning in Tajikistan, including government policies, open-access nationally representative data, journal articles, and program reports, identified through a selective search of Google Scholar and PubMed databases, and the grey literature. Conclusion: This narrative review presents the history of family planning in Tajikistan, outlines an understanding of the health system context as it relates to family planning, and analyzes the latest national family planning policy (2017). The authors suggest further research is required to (a) understand the beliefs and practices related to family planning; and (b) define strategies to address the issue of unmet need of family planning services. 


2020 ◽  
Vol 26 (3) ◽  
pp. 351-360
Author(s):  
Bruna BERRI

Hope can be defined as a forward-looking expectation that can serve as a protective factor to adversity. This work sought to investigate hope in the context of health, disease and death processes from the concept of creative adjustment that originates from a phenomenological perspective developed by Fritz Perls. Through a qualitative narrative review, we sought to define what is being published about hope in addition to hospital psychology in the databases Scielo, PsycINFO and Google Scholar. Materials published from the period 2001 to 2018 were used. The materials found were described and discussed through the precepts of Gestalt Therapy. From the theoretical reflections carried out it can be understood that hope can serve as a way of creatively adjusting to a critical period of serious illnesses or terminality, since it becomes a support for facing reality. It is hoped that this work will enable the health professional to make reflections, redirecting the look to healthy workings in health and illness processes in order to strengthen the potentialities and the recovery of spontaneous and creative responses of their patients.


2020 ◽  
Vol 10 (2) ◽  
pp. 845-855
Author(s):  
Indrajit Banerjee ◽  
Jared Robinson ◽  
Abhishek Kashyap ◽  
Poornasha Mohabeer ◽  
Ananya Shukla ◽  
...  

This narrative review of the literature aims to assess the impact of COVID-19 on the younger age group in terms of the Global mortality of COVID-19 in comparison to Nepal. An extensive literature survey of English literature was conducted using Pubmed, Medline, Google Scholar, Embase, WHO Nepal Situation Updates on COVID-19, Situation update report, Ministry of Health and Population-Nepal from January 25, 2020 to June20, 2020. According to the Ministry of Health and population of The Government of Nepal, as of June 20 , 2020, out of a total of 8,605 laboratory confirmed cases reported to date, the pattern shows that most of the cases fell into the cohort of 21-30 years (37.72%), followed by 11-20 years (24.35 %), 31-40 years (21.97%) and 41-50 years (9.2%). To date Nepal has recorded a total of twenty-two deaths. At first evaluation thesefigures may not strike one as alarming, but on further investigation it is noted that the mean age is 42. 32 ± 19.632 SD years, and out of which male patients accounted for 77.3% and female accounted for 22.7%. The current situation of COVID-19 and how it develops in Nepal should be closely monitored and could be of international concern as it may be the early indicator of a changing pattern in COVID-19 infections. Nepal maytherefore act as a global watch dog, due to the fact that the world could very possibly expose the younger age group under the notion that they are more resilient to the virus, when in reality that notion may be changing. This trend must be monitored and further investigated in order to establish the risk of the events unfolding in Nepal.


Author(s):  
Aleksandar Stojanović

A serious crisis of the pension system has been present in Bosnia and Herzegovina, as well as in many other countries for many years. The current system, which functions on the concept of intergenerational solidarity is financially unsustainable, due to negative demographic and economic movements, as well as reduced number of the employed, and an increase in the number of pensioners. As the main objective of the pension system (the social security of citizens, ie protection against the risk of old age, disability and death) is not fulfilled, it seems that the reform of the pension system is necessary. It is necessary to answer the question: how to transform the pension system of intergenerational solidarity in a system of individual capitalized savings in a socially painless and affordable way?! The implementation of the pension reform aims to establish a long-term sustainable pension system that will provide quality protection from risk, old age, death, disability, and at the same time be consentaneous with economic and demographic movements andensure an adequate level of benefit to citizens in the later age.The aim of the paper is to define the wider, objective picture of the current state of the position of the pension system, as well as providing basic guidelines for the reform and development courses in the future.


2020 ◽  
Vol 3 (4) ◽  
pp. 157-173
Author(s):  
Mei Yang ◽  
Yujie Zhang ◽  
Yana Ma ◽  
Xiangji Yan ◽  
Liuyun Gong ◽  
...  

2021 ◽  
Vol 15 (2) ◽  
pp. 7-21
Author(s):  
Daniel Rojas-Valverde ◽  
Luis D Rojas-Valverde ◽  
Andrea Fallas-Campos ◽  
Braulio Sánchez-Urena ◽  
Randall Gutiérrez-Vargas

El uso de la ecografía terapéutica (TUS) en la ciencia del deporte, la medicina y la rehabilitación ha aumentado significativamente en la última década. Este crecimiento ha estado acompañado de un gran interés científico por el estudio de las respuestas durante el tratamiento de lesiones y el hallazgo de la dosis óptima. Por lo tanto, el propósito de esta revisión narrativa fue explorar el conocimiento informado hasta la fecha sobre el uso de TUS y las consideraciones metodológicas al aplicarlo en la evaluación de lesiones deportivas. Se realizó una búsqueda electrónica (PubMed [MEDLINE], Science Direct [EMBASE], Web of Science [WoS] y Google Scholar) siguiendo las pautas de revisión sistemática (PRISMA), e incluyó solo revisiones sistemáticas sobre la aplicación de TUS en los deportes. El resultado de esta revisión es la presentación de algunas consideraciones metodológicas al utilizar la TUS en la práctica deportiva, dando una orientación general para su uso de seguridad, eficiencia y efectividad considerando la necesidad de recuperarse rápidamente de las lesiones en el deporte.


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