scholarly journals Assessing Drug Consumption Rooms and Longer Term (5 Year) Impacts on Community and Clients

2021 ◽  
Vol Volume 14 ◽  
pp. 4639-4647
Author(s):  
Vincent Tran ◽  
Sharon E Reid ◽  
Amanda Roxburgh ◽  
Carolyn A Day
Keyword(s):  
Drug Consumption

Frequency of drug consumption and falls in a one-year follow-up study among the inhabitants of nursing homes

2008 ◽  
Vol 149 (43) ◽  
pp. 2053-2059
Author(s):  
Mária Bényi ◽  
Zsuzsanna Kéki ◽  
Péter Rákos-Zichy ◽  
Vilmosné Panics ◽  
Ivett Honvéd
Keyword(s):  
Nursing Homes ◽  
Drug Consumption ◽  
Follow Up Study ◽  
One Year

Az időskori esések egészségügyi, szociális, gazdasági terhe igen jelentős napjainkban is. A demográfiai változások következtében a problémával továbbra is számolni kell. Európa-szerte nagy figyelem hárul az időskori balesetek megelőzésére. A szerzők egy európai uniós program keretében kutatást végeztek a szociális otthoni körülmények között élők esési gyakoriságáról, illetve annak okairól. Cél: A kutatás célja az volt, hogy az esések gyakoriságán kívül azok háttere is feltárásra kerüljön, különös tekintettel a gyógyszerfogyasztásra. Adatok, módszer: Egységes kérdőív alapján két szociális otthonban, amelyeknek együtt 1016 lakója van, egyéves vizsgálat történt. A munka során az ápolószemélyzet rögzített minden esést és azok körülményeit, következményeit. Az okok között kiemelt helyen szerepeltek a környezeti tényezők mellett a fogyasztott gyógyszerek. Ez utóbbiakat az elnevezésük alapján tovább vizsgáltuk, a hatásukat és az elesést okozó mellékhatásukat illetően. Az adatfeldolgozás SPSS 14.0 programmal történt. Eredmények: A szociális otthonok lakói között 1013 esés történt a 12 hónap során. Az esetek kétharmadában valamilyen egészségügyi ellátást igényelt az elesett személy. A leggyakrabban horzsolás, zúzódás, illetve bőrsérülés jött létre (20–24%). Combnyaktörés 3%-ban, egyéb törés 1,8%-ban következett be. Szinte minden lakó fogyaszt gyógyszert: 19% háromfélét vagy annál kevesebbet, a többség ennek a többszörösét. Az egy főre jutó maximális gyógyszerfogyasztás 19 volt, az átlag 6. Az esést okozó mellékhatások tekintetében a maximum 43 volt, az átlag 14. Az egyes mellékhatások gyakoriságát, halmozódását külön is bemutatjuk. Következtetések: Az időskori esések száma, aránya jelentős a szociális otthonban élők körében. Ennek egyik oka lehet az igen nagy mennyiségű gyógyszerfogyasztás, amelynek mellékhatása következtében nő az elesés rizikója.

Comprehensive assessment of drug consumption as a basis for pharmacotherapy optimization

2019 ◽  
pp. 22-31
Author(s):  
Olga Vyacheslavovna Zhukova
Keyword(s):  
Clinical Practice ◽  
Treatment Options ◽  
Comprehensive Assessment ◽  
Drug Consumption ◽  
Treatment Standards ◽  
Disease Epidemiology ◽  
Efficacy Analysis ◽  
Epidemiological Monitoring ◽  
Guidelines Development ◽  
Real Clinical Practice

This article describes the rationale for methodology of comprehensive assessment of drug consumption in real clinical practice. The proposed methodology includes three stages: 1) epidemiological monitoring – disease epidemiology assessment; assessment of the role of factors leading to the disease; 2) pharmacoepidemiological monitoring – assessment of pharmacotherapy in real clinical practice; clinical efficacy analysis of drugs; cost-effectiveness analysis; 3) long-term clinical and economical evaluation of various treatment options. Comprehensive assessment of drug consumption should result in optimal pharmacotherapy regimens, decrease of the drug load, increasing of the therapy effectiveness and cost reduction. The scheme of comprehensive assessment of drug consumption is universal and can be used for clinical guidelines development, treatment standards, for the optimal formation of drugs lists at the federal level. Separate stages and sub-steps of an integrated assessment also can be used at the territorial and local levels, medical institution, to optimize pharmacotherapy.

scholarly journals The Complexity of Drug Consumption Room Policy and Progress in Finland

2021 ◽  
pp. 009145092110025
Author(s):  
Ali Unlu ◽  
Fatih Demiroz ◽  
Tuukka Tammi ◽  
Pekka Hakkarainen
Keyword(s):  
Complexity Theory ◽  
Government Policy ◽  
Policy Process ◽  
Central Government ◽  
Drug Consumption ◽  
People Who Use Drugs ◽  
Local Response ◽  
Local Actors ◽  
Moral Frameworks ◽  
Drug Consumption Room

Drug consumption rooms (DCRs) have been established to reach high-risk people who use drugs (PWUDs) and reduce drug-associated harm. Despite effectiveness, their establishment requires strong advocacy and efforts since moral perspectives tend to prevail over health outcomes in many countries. DCRs have generally emerged as a local response to inadequate central government policy. Likewise, the initiative of the Municipality of Helsinki in 2018 opened up a discussion between central government, society, and local actors in Finland. This would be the first DCR in Finland, which makes the policy process and the progress of the initiative interesting for analysis. In this article, the identification of agents, structures of interactions, environmental challenges, and policy opportunities are analyzed within the framework of complexity theory. Our results show that the initiative faces policy barriers that have mainly arisen from the conceptualization of DCRs in moral frameworks that result in the prolongation of political and professional actors to take a position on DCRs.

scholarly journals Occurrence of drug target residues within decantation tank sediments: a good clue to assess their historical excretion?

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Thomas Thiebault ◽  
Laëtitia Fougère ◽  
Anaëlle Simonneau ◽  
Emilie Destandau ◽  
Claude Le Milbeau ◽  
...  
Keyword(s):  
Drug Target ◽  
Chemical Properties ◽  
Deposition Process ◽  
Drug Consumption ◽  
Organic Layers ◽  
Sewer Systems ◽  
Physico Chemical ◽  
Deep Underground ◽  
Deposition Processes

AbstractThis study investigated the potential of sediments accumulated in sewer systems to record human activities through the occurrence of drug target residues (DTR). The installation studied is 17 m deep underground decantation tank that traps the coarse fractions of a unitary sewer system (northern part of Orléans, France), collecting both stormwater and wastewater. The sediments deposited in this tank could constitute a nonesuch opportunity to study the historical evolution of illicit and licit drug consumption in the catchment, however, the deposition processes and the record of DTRs remain largely unknown at present. Five cores were acquired from 2015 to 2017. One hundred fifty-two sediment samples were extracted using a mixture of ultra-pure water:methanol (1:1) prior to analysis of the extracts by high-pressure liquid chromatography coupled to tandem mass spectrometry. Several classical sedimentological analyses such as total organic carbon, facies description and granulometry were also performed on these samples, in order to understand the most important factors (e.g., physico-chemical properties of the DTRs, solid type, assumed load in wastewater) impacting their deposition.The key role of the speciation of DTRs was highlighted by the higher contents in neutral and anionic DTRs in organic layers, whereas only cationic DTRs were found in mineral layers. The considerable modifications in the sediments’ properties, generated by distinct origins (i.e., stormwater or wastewater), are therefore the most important drivers that must be taken into account when back-calculating the historical patterns of drug consumption from their DTR concentrations in decantation tank sediments. Further research remains necessary to fully understand the deposition process, but this study provides new clues explaining these temporal evolutions.

Socioeconomic factors associated with drug consumption in Mexico

2021 ◽  
pp. 1-9
Author(s):  
Armando Nevárez-Sida ◽  
Víctor Gerardo Carreón-Rodríguez ◽  
Marcelo Bergman
Keyword(s):  
Socioeconomic Factors ◽  
Drug Consumption ◽  
Factors Associated
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