scholarly journals Prescribing pattern of benzodiazepines in outpatients without a diagnosis of mental disorders: Retrospective study

2021 ◽  
Vol 27 (1-2) ◽  
pp. 1-10
Author(s):  
Kosana Stanetić ◽  
Verica Petrović ◽  
Zaim Jatić ◽  
Bojan Stanetić ◽  
Vesna Kević ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Family Medicine ◽  
Mental Disorders ◽  
Prescribing Pattern ◽  
Secondary School Education ◽  
Study Results ◽  
The Republic ◽  
Primary Health Care Centers ◽  
Health Care Centers ◽  
Chronic Use

Introduction: Benzodiazepines (BZD) are efficient drugs used to reduce anxiety, treat insomnia, or used as myorelaxants. BZDs are generally recommended for short-term use due to numerous side-effects and addiction. Objective: To investigate the prescribing pattern in family medicine outpatient clinics, in patients without the diagnosis of a mental disorder, and the influence of sociodemographic characteristics on BZD use. Method: A retrospective study of BZDs use, in a tenyear period (2009-2019), was conducted in patients treated in five family medicine teams of three primary health care centers in the Republic of Srpska. The study was carried out by reviewing electronic health records (EHRs) of patients above 18 years of age. The patients with the diagnosis of mental disorders were not recruited in the study. The study included 8560 EHRs, and 259 patients with the diagnosis of the mental disorders were excluded from the study. Results: Out of a total of 8301 analyzed EHRs, in 1044 (12.58%) patients at least one prescription for BZDs was found in a ten-year period. Females used BZDs in a greater percentage (71.07%), persons older than 65 years (44.54%), patients with secondary school education (60.44%), patients with chronic diseases (88.60%), patients living in an urban environment (75.96%). The most prescribed BZD was bromazepam (80.17%). Conclusion: The use of BZDs in our patients is quite considerable when compared to recommendations. The strategies to reduce BZD prescribing are necessary to reduce the chronic use of these drugs.

scholarly journals Utility of pneumococcal vaccine among elderly population in buraidah primary health care centers

2021 ◽  
Vol 9 (1) ◽  
pp. 51
Author(s):  
Sulaiman A. Alawaji ◽  
Chandra S. Kalevaru
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Sample Size ◽  
Chronic Diseases ◽  
Vaccination Coverage ◽  
Pneumococcal Vaccine ◽  
Primary Health ◽  
Study Results ◽  
Primary Health Care Centers ◽  
Health Care Centers

Background: People with chronic diseases tend to land up with high mortality and morbidity. Objective of the study is to determine the prevalence of Pneumococcal vaccine utility among the 50 years and above age group population, to find the demographic profile, the knowledge of PCV among the general population.Methods: A cross-sectional study was conducted randomly in 6 primary health care centers in Buraidah city, Saudi Arabia from the aged 50 years and above population. Sample size was calculated by using WHO statistical software for sample size determination, the result of sample size was 236 participants. A interview-based questionnaire was used after obtaining consent from each participant. Data entered and analyzed using the SPSS software 21.0 version. For categorical analysis, chi square test was applied.Results: In the present study, a total of 202 samples of the population has participated and response rate was 86%. About only 12.9% (26/202) of study population taken PCV vaccine in the study. About 79.7% were having different chronic diseases. About 83.7% were given a response as PCV prevents the disease. There was statistically significant association was observed between different levels of education and chronic heart disease with PCV vaccination status (p<0.05).Conclusions: Based on the study results, Pneumococcal vaccination coverage was low, in comparison with Riyadh study in 2018; our study vaccination coverage was more. Still need Health promotional measures among the general public to increase the coverage of PCV.

scholarly journals Prevalence of mental disorders among patients attending primary health care centers in the capital of Saudi Arabia

Neurosciences ◽  
2018 ◽  
pp. 238-243 ◽  
Author(s):  
Sultan Alghadeer ◽  
Abdulaziz Alhossan ◽  
Mohamed Al-Arifi ◽  
Zyad Alrabiah ◽  
Syed Ali ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Primary Health Care ◽  
Mental Disorders ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers

scholarly journals Antibiotic prescribing pattern on extemporaneous compounding suspension in primary health care centers

2019 ◽  
Author(s):  
Indri Hapsari ◽  
Marchaban Marchaban ◽  
Chairun Wiedyaningsih ◽  
Susi Ari Kristina
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Antibiotic Prescribing ◽  
Cross Sectional Survey ◽  
Prescribing Pattern ◽  
Cross Sectional ◽  
Primary Health ◽  
Traditional Drug ◽  
Primary Health Care Centers ◽  
Health Care Centers

Extemporaneous compounding is one of traditional drug prescribing methods. Although this compounding is still used until present days, but it remains problems since many unexpected cases happen such as medication error, quality of the compounding and also bacterial contamination that may appear in each compounding dosage. This study aims to determine prescribing pattern of antibiotic on dosage of extemporaneous compounding suspension in primary health care centers. The employed method is cross sectional survey conducted in 24 primary health care centers; it is obtained 87 extemporaneous compounding suspensions containing antibiotics. The result shows the antibiotics frequently used in the compounding in the primary health care centers are amoxicillin (90.62%) in form of tablet dosage (10.42) and suspension dosage (89.58%). The most used pattern of antibiotic prescribing in dosage of extemporaneous prescribing suspension is antibiotic suspension + anti-histamine tablets + corticosteroids tablet (18.39%). It can be concluded that the most used prescribing pattern of antibiotic in dosage of extemporaneous prescribing suspension is antibiotic suspension + anti-histamine tablets + corticosteroids tablet.

scholarly journals Atopic Dermatitis and Comorbidity

Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 70
Author(s):  
Sanja Bekić ◽  
Vjenceslav Martinek ◽  
Jasminka Talapko ◽  
Ljiljana Majnarić ◽  
Mila Vasilj Mihaljević ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Atopic Dermatitis ◽  
Retrospective Study ◽  
Family Medicine ◽  
Mental Disorders ◽  
Allergic Diseases ◽  
Inflammatory Skin Disease ◽  
Organ Systems ◽  
Number Of Patients ◽  
Data Source

Atopic dermatitis is the most common chronic inflammatory skin disease. It is often the first indicator of allergic diseases, and a certain percentage of patients are affected by allergic rhinitis and/or asthma as a consequence. The study aimed to investigate the link between atopic dermatitis and comorbidity in family medicine. In the specialist family medicine practice Osijek, a retrospective study was conducted in the period from January 1, 2016 to July 1, 2017 on the percentage of patients with atopic dermatitis in the total number of patients, and their comorbid diseases. The data source was the E-chart. The results showed that 195 (10.53%) out of 2056 patients had atopic dermatitis, 80 (41%) patients had atopic dermatitis and allergic rhinitis, 34 (17.4%) asthma, 132 (67.7%) infections, 59 (30.3%) gastrointestinal disturbances, and 68 (34.3%) had mental disorders. Patients up to 18 years old were more likely to have infections, and adult patients were exposed to chronic stress. The most commonly used drug was loratadine (60.5%), while mometasone was the most commonly administered topical drug (40%). The result of this research showed the steps of the ˝atopic march˝. Atopic dermatitis is followed by changes in the skin and its progression to other organ systems in most of the patients.

scholarly journals Prescribing Pattern of Extemporaneous Compounding in Primary Health Care Centers

2018 ◽  
Vol 10 (12) ◽  
pp. 104
Author(s):  
Indri Hapsari ◽  
Marchaban Marchaban ◽  
Chairun Wiedyaningsih ◽  
Susi Ari Kristina
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Dosage Form ◽  
Generic Drugs ◽  
Drug Prescribing ◽  
Prescribing Pattern ◽  
Prescribing Indicators ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers

OBJECTIVE: Compounding is one of basic competences and skills should be owned by pharmacists since ages. Shortage of licensed drug supply and patients with special needs had become the major reason for the compounding practice to be performed. Average of drug number given to patients in primary or government health centers in a sheet of prescription compounding was quite high; commonly it included more than one drug given individually or prescribed together. The WHO/ INRUD cores drug prescribing indicators were developed to be utilized as a measure of performance in areas related to rational use of medicine in health facilities. This study aimed to analyze prescribing pattern of extemporaneous compounding in primary health care centers. METHOD: Cross sectional survey method was employed in this study which was conducted at 24 Primary Health Care Centers in Banyumas regency, Central Java Province, Indonesia by collecting data of extemporaneous compounding from the primary health care centers having the compounding percentage &ge; 5% from total prescription of each. The researchers implemented retrospective data collection which was conducted on 1200 prescription sheets in period of April to June 2017. RESULT: The drugs used in extemporaneous compounding were 49 types, and the mostly used were chlorpheniramin maleate (22.54%), dexamethasone (18.20%), glycerol guaiacolate (15.36%), amoxicillin (9.15%) and paracetamol (7.47%). Number of drugs used in each extemporaneous compounding was various; one to six drugs per-compounding with its average 2.86 drugs per-prescription of extemporaneous compounding. Generic drugs were mostly used in extemporaneous compounding with percentage 93.88%, while percentage of antibiotic use was low; it was 11.36%. Based on conformity with national formulary in Indonesia, the proper used drug in extemporaneous compounding was 71.43 %, while based on conformity with WHO Model List Essential Medicines, it was 46.96 %. CONCLUSION: In this study, although the drug which was used in dosage form of extemporaneous compounding was still quite high with a range between 1 to 6 drugs in one dosage form, but generally the drug use in form of extemporaneous compounding in primary health care centers was still in accordance with the WHO/INRUD cores drug prescribing indicators that were characterized by high generic drugs and low use of antibiotics in the extemporaneous compounding at the primary health care centers.

Some reflections on social structure: Theoretical and practical aspects

2020 ◽  
Vol 18 (6) ◽  
pp. 1063-1078
Author(s):  
T.N. Skorobogatova ◽  
I.Yu. Marakhovskaya
Keyword(s):  
Service Industry ◽  
External Factors ◽  
Infrastructure Development ◽  
Social Infrastructure ◽  
Social Sphere ◽  
The Social ◽  
Study Results ◽  
The Republic ◽  
Internal And External Factors ◽  
The Impact

Subject. This article discusses the role of social infrastructure in the national economy and analyzes the relationship between the notions of Infrastructure, Service Industry and Non-Productive Sphere. Objectives. The article aims to outline a methodology for development of the social infrastructure of Russia's regions. Methods. For the study, we used the methods of statistical and comparative analyses. The Republic of Crimea and Rostov Oblast's social infrastructure development was considered as a case study. Results. The article finds that the level of social infrastructure is determined by a number of internal and external factors. By analyzing and assessing such factors, it is possible to develop promising areas for the social sphere advancement. Conclusions. Assessment and analysis of internal factors largely determined by the region's characteristics, as well as a comprehensive consideration of the impact of external factors will help ensure the competitiveness of the region's economy.

Antibiotics Prescription Patterns in Primary Health Care in Qatar – A Population based study from 2017 to 2018

2020 ◽  
Author(s):  
Hanan Khudadad ◽  
Lukman Thalib
Keyword(s):  
Health Care ◽  
Antibiotic Resistance ◽  
Primary Health Care ◽  
Respiratory System ◽  
Population Based ◽  
Antibiotics Resistance ◽  
Prescription Patterns ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers

Background: Antibiotics are antimicrobial drugs used in the treatment and prevention of bacterial infections. They played a pivotal role in achieving major advances in medicine and surgery (1). Yet, due to increased and inappropriate use of antibiotics, antibiotic resistance (AR) has become a growing public health problem. Information on antibiotic prescription patterns are vital in developing a constructive approach to deal with growing antibiotic resistance (2). The study aims to describe the population based antibiotic prescriptions among patients attending primary care centers in Qatar. Methodology: A population based observational study of all medications prescribed in the all Primary Health Care Centers during the period of 2017-2018 in Qatar. Records with all medication prescriptions were extracted and linked to medical diagnosis. Antibiotics prescriptions records were compared to non- antibiotics records using logistic regression model in identifying the potential predictors for antibiotic prescriptions. Results: A total of 11,069,439 medication prescriptions given over a period of two-years, we found about 12.1% (n= 726,667) antibiotics prescriptions were antibiotics, and 65% of antibiotics are prescribed and received by the patients at the first visits. Paracetamol (22.3%) was the first highest medication prescribed followed by antibiotics (12.1 %) and vitamin D2 (10.2 %). More than half of all antibiotics prescribed during the period of January 2017 to December 2018 were Penicillin (56.9%). We found that half of the antibiotics (49.3 %) have been prescribed for the respiratory system comparing to the other body system. We found that males were 29% more likely be given an antibiotic compared to females (OR=1.29, 95% CI= 1.24- 1.33). Implications: The study provides a baseline data to enable PHCC management to design effective intervention program to address the problem of antibiotics resistance. Furthermore, it will help the policymakers to comprehend the size of the issue and develop a system to manage the antibiotics therapy. Conclusion: Antibiotics was the second highest medication prescribed in the Primary Health Care Centers in Qatar after paracetamol and most of the patients received it at the first visit. Most of the prescriptions in Primary Health Care Centers in Qatar were for the respiratory system, and Penicillin was the highest class prescribed. Male visitors were prescribed antibiotics more than female visitors.

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