scholarly journals Community consumption of analgesic opioids and opiate substitution treatments in a self-employed workers health plan: trend, substitution effects and demographic factors

2021 ◽  
Vol 39 (1) ◽  
pp. 1-64
Author(s):  
Philippe Ha-Vinh ◽  
Pierre Régnard
Keyword(s):  
Opioid Analgesics ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Prescription Opioid ◽  
Substitution Effects ◽  
Cross Sectional ◽  
North East ◽  
The North ◽  
Analgesic Opioids ◽  
Pain In The Elderly

Objective: Our aim was to evaluate community consumption of strong prescription opioid treatments in France in 2015 and 2017.Methods: A nation-wide French health care insurance claims database was analyzed for opioids average annual cost, annual prevalence of dispensations and users by mean of two repeated retrospective cross sectional study in 2015 and 2017.Results: In 2015–2017 prevalence of users per 100 000 beneficiaries per year rose from 878 to 932 (+6%) for strong opioid analgesics and lowered from 160 to 150 (-6%) for opiate substitution treatments. Prevalence of users of oxycodone, fentanyl, morphine, hydromorphone, buprenorphine, and methadone shifted by +17%, -5%, +4%, -8%, -13%, and +10%, respectively (+20% for methadone capsules). Oxycodone moved from third place to first place in terms of number of dispensation. Highest prevalence were in the western half of France, age over 60 and female for strong analgesic opioids and the north-east quarter and the south-west quarter of France, age 30 to 49 and male for opiate substitution treatments. The factor most strongly associated with prevalencewas age in strong analgesic opioids and gender in opiate substitution treatments.Conclusions: In 2 years the use of analgesics progresses, especially for oxycodone, while that of the substitution drugs decreases. Despite its greater danger, methadone tends to replace buprenorphine and capsule form tends to replace the syrup. Regulatory changes or enhanced controls may have played a role. The age of strong analgesic opioids consumers highlights the issue of severe pain in the elderly.

scholarly journals Prevalence of falls in elderly in Brazil: a countrywide analysis

2011 ◽  
Vol 27 (9) ◽  
pp. 1819-1826 ◽  
Author(s):  
Fernando Vinholes Siqueira ◽  
Luiz Augusto Facchini ◽  
Denise Silva da Silveira ◽  
Roberto Xavier Piccini ◽  
Elaine Tomasi ◽  
...  
Keyword(s):  
Low Socioeconomic Status ◽  
Urban Areas ◽  
Female Gender ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Low Socioeconomic ◽  
The North ◽  
High Prevalence ◽  
Falls In Elderly

We conducted a cross-sectional study of a sample of 6,616 elderly living in urban areas of 100 municipalities in 23 Brazilian states, who responded to questions on the occurrence of falls in the 12 months prior to the interview, and occurrence of fractures due to the falls. The prevalence of falls among the elderly was 27.6% (95%CI: 26.5-28.7). Among those reporting falls, 11% had suffered fractures as a result. Of the elderly, 36% had received guidance about the precautions necessary to prevent falls, and about 1% had required surgery. Falls were associated with female gender, older age, low socioeconomic status, obesity and sedentary lifestyles. The prevalence of falls differed significantly between the North and other regions of Brazil. The study shows a high prevalence of falls, and underlines the need for preventive strategies targeting modifiable risk factors.

scholarly journals A scabies outbreak in the North East Region of Ghana: The necessity for prompt intervention

2020 ◽  
Vol 14 (12) ◽  
pp. e0008902
Author(s):  
Yaw Ampem Amoako ◽  
Richard Odame Phillips ◽  
Joshua Arthur ◽  
Mark Ayaaba Abugri ◽  
Emmanuel Akowuah ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
The Body ◽  
Northern Ghana ◽  
Individual Treatment ◽  
Local Health ◽  
Cross Sectional ◽  
North East ◽  
The North ◽  
Resource Limited ◽  
International Alliance

Background There is a dearth of data on scabies from Ghana. In September 2019, local health authorities in the East Mamprusi district of northern Ghana received reports of scabies from many parts of the district. Due to on-going reports of more cases, an assessment team visited the communities to assess the effect of the earlier individual treatment on the outbreak. The assessment team furthermore aimed to contribute to the data on scabies burden in Ghana and to demonstrate the use of the International Alliance for the Control of Scabies (IACS) diagnostic tool in a field survey in a resource limited setting. Methodology/Principal findings This was a cross sectional study. Demographic information and medical history was collected on all participants using a REDCap questionnaire. A standardised skin examination of exposed regions of the body was performed on all participants. Scabies was diagnosed based on the criteria of the International Alliance for the Control of Scabies (IACS). Participants were mostly female (61.5%) and had a median age of 18.8 years (IQR 13–25). Two hundred out of 283 (71%) of participants had scabies with most (47%) presenting with moderate disease. Impetigo was found in 22% of participants with scabies and 10.8% of those without scabies [RR 2.27 (95% CI 1.21–4.27)]. 119 participants who received scabies treatment in the past months still had clinical evidence of the disease. 97% of participants reported a recent scabies contact. Scabies was commoner in participants ≤16 years compared to those >16 years [RR 3.06 (95% CI 1.73–5.45)]. Conclusion/Significance The prevalence of scabies was extremely high. The lack of a systematic approach to scabies treatment led to recurrence and ongoing community spread. The IACS criteria was useful in this outbreak assessment in Ghana. Alternative strategies such as Mass drug administration may be required to contain outbreaks early in such settings.

Prevalence, Symptoms, and Associated Factors of Chronic Constipation Among Older Adults in North-East of Peninsular Malaysia

2021 ◽  
pp. 105477382110339
Author(s):  
Patimah Abdul Wahab ◽  
Dariah Mohd Yusoff ◽  
Azidah Abdul Kadir ◽  
Siti Hawa Ali ◽  
Lee Yeong Yeh
Keyword(s):  
Older Adults ◽  
Chronic Constipation ◽  
Older Patients ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Peninsular Malaysia ◽  
Plain Water ◽  
Cross Sectional ◽  
North East ◽  
The North

This study aimed to determine the prevalence, symptoms, and associated factors of chronic constipation among older adults in the North-East of Peninsular Malaysia. A cross-sectional study was conducted among older patients from four health clinics. A total of 400 older patients participated, with a mean age of 68.7 ( SD = 6.4) years. The prevalence of chronic constipation was 14.8%. The highest symptom reported was the inability to pass stool (98.3%). Chronic constipation was significantly associated with older age (OR = 2.97; 95% CI [1.17, 7.54]; p = .022), inadequate plain water intake per day (OR = 2.13; 95% CI [1.13, 4.02]; p = .020), hypertension (OR = 2.22; 95% CI [1.07, 4.61]; p = .033), and hyperlipidemia (OR = 2.52; 95% CI [1.24, 5.11]; p = .010). Identification of chronic constipation should be done as part of routine clinic visits, especially for older patients with cardiovascular disease.

scholarly journals Frailty in the elderly: prevalence and associated factors

2017 ◽  
Vol 70 (4) ◽  
pp. 747-752 ◽  
Author(s):  
Jair Almeida Carneiro ◽  
Rafael Rodrigues Cardoso ◽  
Meiriellen Silva Durães ◽  
Maria Clara Araújo Guedes ◽  
Frederico Leão Santos ◽  
...  
Keyword(s):  
The Elderly ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Robust Variance ◽  
The North ◽  
History Of ◽  
Prevalence Ratios ◽  
Use Of Health Services

ABSTRACT Objective: to know the prevalence and factors associated with frailty in elderly assisted by the Centro Mais Vida de Referência em Assistência à Saúde do Idoso (Mais Vida Health Reference Center for the Elderly) in the North of Minas Gerais, Brazil. Method: cross-sectional study, with sampling by convenience. Data collection occurred in 2015. Demographic and socioeconomic variables, morbidities, use of health services and the score of the Edmonton Frail Scale were analyzed. The adjusted prevalence ratios were obtained by multiple analysis of Poisson regression with robust variance. Results: 360 elderly aged 65 or older were evaluated. Frailty prevalence was 47.2%. The variables associated with frailty were the following: advanced age elderly, who live without a partner, have a caregiver, present depressive symptoms, osteoarticular disease, as well as history of hospitalization and falls in the last twelve months. Conclusion: knowledge of factors associated with frailty allows development of health actions aimed at the elderly.

scholarly journals Medication Self-efficacy and Its Related Factors: A Cross-sectional Study on Patients with Coronary Artery Disease in North East of Iran Medication Self-efficacy and its Related Factors

2021 ◽  
Vol 17 (4) ◽  
Author(s):  
Fahimeh Nikraftar ◽  
Seyed Reza Mazloum ◽  
Mostafa Dastani ◽  
Fatemeh Heshmati Nabavi
Keyword(s):  
Coronary Artery ◽  
Self Efficacy ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
North East ◽  
The North ◽  
East Of Iran ◽  
The Mean

Background: Patients with coronary artery diseases (CAD) use a wide spectrum of medications; hence, strategies are needed to increase their adherence. In this line, identifying factors associated with medication self-efficacy can be useful. Objectives: The current study aimed to investigate medication self-efficacy and its related factors in patients with CAD in the north-east of Iran. Methods: In this cross-sectional study, 104 patients with CAD hospitalized in one of the largest teaching hospitals in the north-east of Iran are studied. Participants were selected by convenience sampling method. Data were collected using Demographic and clinical information form, Information Satisfaction questionnaire (ISQ), and Self-Efficacy for Appropriate Medication Use scales (SEAMS). Data were analyzed by SPSS version 22 using descriptive statistics and multiple regression test. Results: The mean age of patients was 52.3 ± 8.8 years. The mean medication self-efficacy score was 24.9 ± 9.5 (out of 39). Multiple regression showed a linear and significant association between information satisfaction, income, medications used in the last month, information about the nature of the disease, doctors as a preferred source of information, nurses, family members, internet and social networks as the most information sources used by patients, with medication self-efficacy (R = 0.907, P < 0.001). These variables could explain 82.2% of the self-efficacy variance. Conclusions: Based on the result, it can be argued that in designing and implementing educational interventions aimed to promote medication self-efficacy in patients with CAD, individuals with lower income and under long-term medication treatment should receive more support. Educational programs should emphasize more on explaining the nature of the disease to the patients, and physicians should be more involved in educating patients.

Prehospital Characteristics in the North East Department of Haiti: A Cross-sectional Study from a Low-income Setting Without Prehospital Systems

2014 ◽  
Vol 29 (3) ◽  
pp. 230-236 ◽  
Author(s):  
Adam R. Aluisio ◽  
Robert Gore ◽  
Isnelle Decome ◽  
Annelies De Wulf ◽  
Christina Bloem
Keyword(s):  
Low Income ◽  
Prehospital Care ◽  
Cross Sectional Study ◽  
Trauma Patients ◽  
Medical Patients ◽  
Cross Sectional ◽  
North East ◽  
The North ◽  
Motorcycle Taxi ◽  
Low Income Setting

AbstractIntroductionAlthough prehospital care is recognized as key in health systems development, it has been largely neglected in Haiti. The North East Department is one of the poorest areas of Haiti, and is a region where no data on out-of-hospital health care exists. This research assessed prehospital characteristics in the North East Department with the aim of providing baseline data to inform prehospital systems development.MethodsIn this observational study, data were collected from patients presenting at the Fort Liberté Hospital, the public regional referral health center in the North East Department. Data were accrued from April 2, 2012 through June 5, 2012. All patients accessing acute care at the hospital were eligible for enrollment. After obtaining consent, data on demographics, health needs, and prehospital information were gathered via a standardized questionnaire administered by hospital staff trained in study protocols.ResultsData were collected from 441 patient visits. The median age was 24 years, with 62% of the population being female. Medical complaints comprised 75% of visits, with fever and gastrointestinal complaints being the most common reasons for presentation. Traumatic injuries accounted for 25% of encounters, with an equal distribution of blunt and penetrating events. Extremity injuries were the most common traumatic subclassification. The majority of patients (67.2%) were transported by motorcycle taxi and paid transport fees. Trauma patients were more likely to be transported without charge (OR = 9.10; 95% CI, 2.19-37.76;P< .001). Medical patients were most commonly brought from home (78.5%) and trauma patients from a road/street setting (42.9%). Median time to presentation was 240 minutes (IQR = 120-500) and 65 minutes (IQR = 30-150) for medical and trauma complaints, respectively (P< .001). Eleven percent of patients reported receiving care prior to arrival. As compared with medical patients, trauma victims were less likely to have received prehospital care.ConclusionsAssessing prehospital care in this low-income setting that lacks surveillance systems was feasible and required minimal resources. Motorcycle taxi drivers function as the primary emergency transport mechanism and may represent an access point for prehospital interventions in the North East Department of Haiti. Out-of-hospital care is nearly nonexistent in the region and its development has the potential to yield public health benefits.AluisioAR,GoreR,DecomeI,De WulfA,BloemC.Prehospital characteristics in the North East Department of Haiti: a cross-sectional study from a low-income setting without prehospital systems.Prehosp Disaster Med.2014;29(3):1-7.

scholarly journals Multimorbidity associated with polypharmacy and negative self-perception of health

2017 ◽  
Vol 20 (5) ◽  
pp. 634-642 ◽  
Author(s):  
Gustavo Cavalcanti ◽  
Marlene Doring ◽  
Marilene Rodrigues Portella ◽  
Emanuelly Casal Bortoluzzi ◽  
Andreia Mascarelo ◽  
...  
Keyword(s):  
Robust Regression ◽  
Well Being ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Small Towns ◽  
Self Perception ◽  
Cross Sectional ◽  
Independent Variables ◽  
The North ◽  
Perception Of Health

Abstract Objective: to verify the association between the multimorbidity of the elderly and sociodemographic variables, self-perception of health and polypharmacy. Method: a cross-sectional study was performed. The research data was collected using the Health, Well-Being and Aging questionnaire. The sample was composed of 676 people aged 60 years or more, who were residents of small towns in the north of the state of Rio Grande do Sul, Brazil. The dependent variable was multimorbidity, that is, the occurrence of two or more chronic non-communicable diseases in the same person. The independent variables were demographic, socioeconomic and health-related characteristics. Poisson’s raw and robust regression model was used to analyze the effect of the independent variables in relation to the outcome and p was considered significant when <0.05. Result: among the elderly interviewed, 45% presented multimorbidity, 51.1% reported a self-perception of poor/very poor health and 37.1% used polypharmacy. After the analysis was adjusted to the occurrence of multimorbidity, association with the following variables was found: health perception (regular/poor/very poor) PR=1.15 (CI95%; 1.09 - 1.22) and use of polypharmacy PR=1.29 (CI95%; 1.22 - 1.35). Conclusion: Multimorbidity may interfere negatively in the self-perception of health of the elderly contributing to increased medicine consumption.

scholarly journals Management of depression in primary care - A cross-sectional study in the North-East of England, UK

2021 ◽  
Vol 19 (2) ◽  
Author(s):  
Reshma Hegde ◽  
Prinul Gunputh ◽  
Baxi Sinha
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Secondary Care ◽  
Cross Sectional Study ◽  
Free Text ◽  
Sectional Study ◽  
Cross Sectional ◽  
North East ◽  
The North

Background: Depression is a common and serious disorder that impairs quality of life. Since general practitioners (GP) are considered gatekeepers to secondary care, the choice of interventions offered in primary care can have a significant impact not only on patients’ quality of life, but also on health service demands. Objective: To evaluate the confidence of GPs in diagnosing and managing depression; and, to assess the factors influencing their strategy in treating depression. Methods: A cross-sectional study was carried out among GPs working in the North-East of England, UK. The survey questionnaire consisted of mostly close-ended questions with some allowing for free-text comments (see Appendix 1). The responses obtained were analysed using Microsoft Excel. Results: Among the total of 63 respondents, most GPs were comfortable diagnosing depression. Most would consider combining talking therapies with antidepressants (68.3%) at presentation, followed by referral to talking therapies alone (41.2%). In only 14.3% of cases would antidepressant therapy alone be considered. For those patients non-responsive to initial treatment, 25.4% considered offering a different antidepressant or adjunct medication (such as a sedative, anxiolytic, or beta-blocker), and another 25.4% of GPs considered a combination with another antidepressant. 46.0% of participants were not comfortable prescribing dual antidepressants due to concerns about side effects, lack of experience, paucity of guidelines, and lack of timely access and guidance from the local mental team. Nearly all (98.4%) GP participants would agree to prescribe dual antidepressants on advice of the mental health team with telephone advice being the preferred means of communication in 65.1% of cases. Conclusion: The results of this study can help to develop closer co-operation between primary and secondary care by not only upskilling GPs through various means (educational events, training posts, etc.), but by also creating better communication channels at the interface between those two services. Key words: antidepressants, combination therapy, depression, primary care, primary-secondary care interface

scholarly journals Assessment of Acute Obstetrical Needs and the Potential Utility of Point-Of-Care Ultrasound in the North East Region of Haiti: A Cross-Sectional Study

2020 ◽  
Vol 86 (1) ◽  
pp. 72
Author(s):  
Danica J. Gomes ◽  
Benjamin Kaufman ◽  
Adam R. Aluisio ◽  
Scott Kendall ◽  
Vladimir Thomas ◽  
...  
Keyword(s):  
Point Of Care ◽  
Cross Sectional Study ◽  
Point Of Care Ultrasound ◽  
Potential Utility ◽  
Sectional Study ◽  
Cross Sectional ◽  
North East ◽  
The North ◽  
East Region
Sign in / Sign up

Export Citation Format

Share Document