scholarly journals Age and Gender Trends in Prescribing and Utilization of Lipid-Lowering Drugs at a Public Hospital in Alkharj City

Author(s):  
Nehad J. Ahmed ◽  
Menshawy A. Menshawy ◽  
Ziyad S. Almalki ◽  
Mohammed A. Alhajri

Aim: Lipid-lowering drugs are used to decrease low-density lipoprotein cholesterol and as a result, they are used in both secondary and primary prevention of cardiovascular diseases. This study aimed to observe the prescribing trend of lipid-lowering drugs and to describe the gender and age-related differences in the outpatient setting of a public hospital in Alkharj city. Methodology: This is a cross-sectional observational study that was conducted in outpatient setting of a public hospital in Alkharj city and included the review of electronic outpatient prescriptions. The data was collected and analyzed using Excel software; the descriptive data were represented by percentages and numbers.  Results: The most prescribed lipid-lowering drug in the present study was atorvastatin (62.36%) followed by simvastatin (29.34%). The study found that there are several differences in lipid lowering medications use patterns among different gender and age groups. Therefore, frequent reviews of lipid-lowering drugs use and prescribing pattern are important to optimize patients’ treatment. Conclusion: It is important in the future to make stratified guidelines based on patient characteristics such as age and gender.

Author(s):  
Nehad J. Ahmed

Aim: There is a scarcity of data regarding gender and age related aspects of antiplatelet drugs utilization in the outpatient setting. Thus, the objective of the present study was to determine the age-and gender-related differences in the outpatient use of antiplatelet drugs in Alkharj. Methodology: This is a retrospective study that include the assessment of electronic prescriptions in the outpatient setting that include an antiplatelet drug in 2018. Results: Ticagrelor was prescribed mainly for patients more than 60 years old (84.62%). Clopidogrel was prescribed mainly for patients more than 50 years old (79.76%) and aspirin also was prescribed mainly for patients more than 50 years old (71.67%). Generally, most of the patients who received antiplatelet agents were male (52.76%). Conclusion: The present study showed that there were differences in prescribing antiplatelet agents between different gender and different ages. So it is important to know the prescribing trends and to give the appropriate drugs based on several factors such as gender and age. It is expected that in the future, antiplatelet therapy may be based on age and on endogenous sex hormone level or genetic female/male differences.


2018 ◽  
Vol 11 (4) ◽  
pp. 1967-1974
Author(s):  
Praveen Panchaksharimath ◽  
A. N. Praveen ◽  
R. Manjunath

Drug utilization study is a powerful exploratory tool to evaluate the present trends of drug prescribing and appropriateness of prescription. To analyse the age and gender related differences in utilization of different classes of drugs in patients for Ischemic heart disease (IHD) management. This cross-sectional observational study was conducted from August 2017 to March 2018 in Cardiology department, PMSSY, BMC&RI, Bengaluru. The demographic, and drug prescription data of IHD patients were analyzed according to age group (18–59 years versus ≥ 60 years) and gender wise. Out of 520 patients diagnosed with IHD, 68% were male patients and 60% were aged ≥ 60 years. The most common co-morbid condition was Hypertension (66%) and was significant in patients aged ≥ 60 years (P= 0.0033). Anti-platelet drugs (100%) followed by Lipid lowering drugs (96%) were most commonly prescribed. The average number of drugs per prescription was found to be 6.44. Prescription of Dual anti-platelet therapy was found to be significant among men (<0.0001). Prescription of Diuretics (p = 0.045) and Pregabalin (p = 0.031) were significantly higher among females and Prescription of Angiotensin receptor blockers (ARBs) was significantly higher among those aged 18–59 years. Hypertension and Diabetes Mellitus were the most common co-morbidities observed with IHD. ARBs, Diuretics, Proton pump inhibitors, Anti Diabetic Agents and Pregabalin showed significant differences in the drug utilization with respect to age and gender. Dual anti-platelet therapy was observed to be significantly higher among males. This study has been registered in CTRI (CTRI/2018/05/013949).


2017 ◽  
Author(s):  
Wiebke Bleidorn ◽  
Ruben C. Arslan ◽  
Jaap J. A. Denissen ◽  
Jason Rentfrow ◽  
Jochen E. Gebauer ◽  
...  

Research and theorizing on gender and age differences in self-esteem have played a prominent role in psychology over the past 20 years. However, virtually all empirical research has been undertaken in the United States or other Western industrialized countries, providing a narrow empirical base from which to draw conclusions and develop theory. To broaden the empirical base, the present research uses a large Internet sample (N 985,937) to provide the first large-scale systematic cross-cultural examination of gender and age differences in self-esteem. Across 48 nations, and consistent with previous research, wefound age-related increases in self-esteem from late adolescence to middle adulthood and significant gender gaps, with males consistently reporting higher self-esteem than females. Despite these broad cross-cultural similarities, the cultures differed significantly in the magnitude of gender, age, and Gender Age effects on self-esteem. These differences were associated with cultural differences in socioeconomic, sociodemographic, gender-equality, and cultural value indicators. Discussion focuses on the theoretical implications of cross-cultural research on self-esteem.


2008 ◽  
Vol 36 (3) ◽  
pp. 385-390 ◽  
Author(s):  
Luis-Joaquin Garcia Lopez ◽  
Candido J. Ingles ◽  
Jose M. Garcia-Fernandez

Although social phobia is one of the most common mental disorders in adolescents, information on the need for normative data is missing. For this reason, this cross-sectional study was aimed at determining if there is a need to have normative data according to age and gender in socially anxious adolescents. Furthermore, we analyzed whether or not boys and girls differ in the nature of their social fears. The study population comprised 2,543 Spanish-speaking adolescents randomly recruited from 10 schools. The results indicate that there is no need for different normative data based on age and gender. Moreover, our data also indicate that even though there are quantitative differences between boys and girls, i.e., girls report a higher percentage, a qualitative analysis revealed that boys and girls experience the same social fears and, therefore, the nature of the social-anxiety provoking situations is the same across gender. Implications for developmental theories and assessment are discussed as well.


Author(s):  
Nehad J. Ahmed ◽  
Menshawy A. Menshawy

Objective: The present study aims to explore the prescribing trends of aluminum hydroxide - magnesium hydroxide in the outpatient setting. Methods: This is a cross-sectional study that was conducted in a public hospital in Al Saih. Prescription data was collected retrospectively from electronic patients records in the outpatient section of the hospital. Results: A total of 146 outpatients received aluminum hydroxide - magnesium hydroxide antacid between 1st of July till the end of December 2018. Most of the patients were female (61.64%). Out of the 146 prescriptions, 145 were written by residents (99.32%) and only 1 prescription was written by a specialist (0.68%). Most of the prescriptions were written by emergency department (91.79%). Conclusion: The use of aluminum hydroxide - magnesium hydroxide was uncommon but it should be prescribed carefully and a continuous assessment of its prescribing is required to prevent its adverse events and drug interactions.


Author(s):  
Nehad J. Ahmed

Aim: Drug utilization study is considered a powerful exploratory tool to assess the present trends of drug prescribing and appropriateness of prescription and to analyze the differences in drugs utilization with respect to several factors such as age and gender. This study aims to describe the age-and gender-related differences in anticoagulant drugs use patterns. Methodology: The present study included the review of outpatient electronic prescriptions that include an anticoagulant drug in 2018 in a public hospital in Al-karj, Saudi Arabia. Results: Enoxaparin was prescribed mainly for patients between 20-39 years old (63.48%). Warfarin was prescribed mainly for patient more than 50 years old (59.38%). Enoxaparin was prescribed mainly for female patients (86.09%). Rivaroxaban and warfarin were prescribed mainly for female patients, 64.71% and 59.38% respectively. Conclusion: There are differences in prescribing anticoagulant according to gender and age. It is important to know the differences in prescribing anticoagulants according to age and gender and if the treatment is inappropriate, it is important to identify and address reasons for treatment disparities in anticoagulation prescription.


2020 ◽  
Vol 12 (2) ◽  
pp. 70-79
Author(s):  
FlávioAlberto Oliva ◽  
Maria Lúcia Ribeiro ◽  
Marina Armelin Silva ◽  
Marjori Leiva Camparoto ◽  
Telma Reginato Martins

The goal of this study was to understand the gender and age profile of the users of ambulatory services at public hospital. Gender and age are fundamental elements for the construction of public policies at local and regional level. We performed a 3-year retrospective data collection, regarding age and gender of the population of the outpatient clinic of the public hospital between 2013 and 2015. It is a research with quantitative approach performed through three databases from january 2013 to December 2015 totaling 460.505 consultations. The database of the public hospital was adopted as the primary source, it was also consulted the database of the last two censuses of the Brazilian Institute of Geography and Statistics (IBGE) and the database of the Regional Health Division. The cross-checking of data, through Microsoft Excel and the Online Analytical Processing (OLAP) software, allowed the construction of a graph structured by gender and age according to the standards defined by IBGE on 2010, as well as the comparison between age and gender profile of the total population attended by public hospital and its consultations. The female audience represents 60.5% of the attendances, while the male population accounts for 39.5%. Only in the age groups between 0 and 14 and 85 to 89 years the male audience is larger. The difference in care is accentuated in the middle of the pyramid, in the ranges between 30 and 69 years, during which time women are responsible for 65.5% of the attendances against 34.5% of men. Such gender proportional differences are maintained on the total population, the only significant variation is on the age group from 80 and older where although there is a female majority of users, there is also a larger female majority on the population. Studies show that women make more references to health problems than men, as these represent, according to the male imagination, virility and strength, not representing vulnerability to the disease. Men do not recognize themselves as targets of health care and they are less likely to seek health services for cultural reasons, mainly, opening space for discussion about social inequalities in health between men and women.


2017 ◽  
Vol 27 (1) ◽  
pp. 97-113 ◽  
Author(s):  
Andrei Ion ◽  
Christopher D. Nye ◽  
Dragoş Iliescu

Gender- and age-related differences in the variability of various human attributes and abilities have been investigated. This article investigates the age and gender differences in the variability of Holland’s six vocational dimensions with a sample including 1,519 participants, divided into four age groups: early adolescence (12–15 years old), adolescence (16–20 years old), young adulthood (21–30 years old), and adulthood (31–59 years old). The results showed nontrivial differences in the variability of vocational interests across gender and age groups alike. Although significant differences in variability were observed for all vocational interest dimensions except investigative, the most pronounced differences in variability across age and gender were observed for realistic and conventional dimensions. Generally, the observed differences in variability were larger in adolescence than in adulthood. Overall, vocational interests displayed less differentiation within the younger age groups (early adolescence and early adulthood) as compared to adulthood.


Author(s):  
Nehad J. Ahmed

Aim: This study aims to describe the prescribing pattern of lactulose in the outpatient setting of a public hospital. Methodology: This is a cross-sectional study that was conducted in Alkharj city. Prescription data were collected retrospectively from electronic medical records in the outpatient setting of the hospital. Results: A total of 113 patients received lactulose in the outpatient setting of the hospital. Most of them were males (66.37%). Approximately 24% of the patients aged between 30-39 years and about 20.35% of them aged between 20-29. Most of the patients received lactulose for 7 days (70.8%). Most of the prescriptions were written by the Emergency department (84.07%). Conclusion: Lactulose prescribing was uncommon in the present study. Nevertheless, it is important to use it appropriately to increase its efficacy and safety. The patient should take it as recommended, and the health care professionals should counsel patients about their medications.


2019 ◽  
Vol 11 (2) ◽  
Author(s):  
Thalles José De Oliveira Antonio ◽  
Caio De Paula Ribeiro ◽  
Daniel Teixeira Dos Santos ◽  
Vinícius Medeiros Henriques ◽  
Luís César Lopes Da Silva ◽  
...  

This study aims to evaluate the prevalence, distribution and clinical profile of neurological diseases and syndromes from a neurology outpatient clinic in the city of Rio de Janeiro. This is a quantitative, cross-sectional study. 180 medical records of firsttime visits conducted through 18 months were analyzed. Age, gender and comorbidities were collected to identify the sample’s profile and the neurological diagnoses found were classified in predefined groups of syndromes according to the ICD-10 classification, which were further stratified according to age and gender. 157 (87,2%) of the patients had a neurological disease, of which the mean age was 51,05 years and 67,5% were women. The most frequent comorbidities were: hypertension (55,6%); dyslipidemia (20,4%); and diabetes (14,6%). The most common neurological diseases were: Sequelae of Cerebrovascular Disease (12,7%); Unspecified Dementia (8,9%); and Migraine without Aura (7,6%). The main neurological syndromes were: Headache (24,8%); Dementia (15,9%); Cerebrovascular Disease (13,4%); Movement Disorders (12,1%); and Radiculopathy (10,8%). The age and gender profile of these syndromes was further described. These data contribute to better understand the distribution of neurological diseases in the neurological outpatient setting.


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