Prescribing for geriatrics in Tehran; is it appropriate and rational?

Kargar, Mona; Atrianfar, Fatemeh; Rashidian, Arash; Heidari, Kazem; Noroozıan, Maryam; Gholami, Kheirollah; Javadi, Mohammad Reza

doi:10.47176/mjiri.33.143

Cited by 5 publications

(4 citation statements)

References 26 publications

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“…Among them mausoleums have a special place. Mausoleums of Gonbad-e Kabood and Ghaffariyeh tomb tower (Sattarnejad et al, 2020b), Modavvar Tower (Kargar, 1993. P. 219), Gonbad-e Sorkh (Sattarnejad et al, 2020a, and Goy Borj tomb are preserved and can be seen today.…”

Section: «Shaft Straighteners» In Northern Mesopotamia During the Neo...mentioning

confidence: 99%

Одежда Красит Женщину: Мода На Бусы По Материалам Раскопок Сарматского Могильника В Хунедоаре Еимишане

Bârcă¹,

Grumeza²

2023

Краткие Сообщения Института Археологии (КСИА)

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This article analyses the beads discovered in the Sarmatian cemetery from Hunedoara Timisana (Arad County, West Romania). Beads are the most numerous dress items in the graves at Hunedoara Timisana, a total of 1396 beads (beside other fragmentary pieces) being identified in the 14 analysed graves. Beads fulfilled various functionalities within the analysed graves: they were part of necklaces, belts, earrings or buttons, but most often were sewn onto female garments. The custom of embroidery-decorating garment hems with hundreds or even thousands of beads of various colours is recorded in the Sarmatian milieu of the Great Hungarian Plain as early as their settling of the area. The fashion peaks in the period after the Marcomannic wars, very likely influenced by the arrival in this area of new groups of Sarmatians by the end of the 2nd - early 3rd c. AD. Статья посвящена анализу бусин из сарматского могильника в Хунедоаре Тимишане (Жудец Арад, Западная Румыния). Именно бусы, которыми украшали одежду, наиболее часто встречаются в захоронениях в Хунедоаре Тимишане; в 14 изученных погребениях найдено 1396 бусин (помимо фрагментов). Функции найденных бусин отличаются разнообразием: из них делали ожерелья, ими украшали пояса, они использовались как серьги или пуговицы, однако чаще всего бусины нашивались на женскую одежду. Обычай украшать подол платья вышивкой из разноцветных бусин зафиксирован среди сарматских племен Большой Венгерской равнины уже на раннем этапе освоения данной территории, причем для украшения одного платья могли использоваться сотни и даже тысячи бусин. Мода на бусы достигла своего пика после Маркоманской войны, вероятно, под влиянием новых сарматских групп, прибывших в конце II - начале III.

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Section: «Shaft Straighteners» In Northern Mesopotamia During the Neo...mentioning

confidence: 99%

Одежда Красит Женщину: Мода На Бусы По Материалам Раскопок Сарматского Могильника В Хунедоаре Еимишане

Bârcă¹,

Grumeza²

2023

Краткие Сообщения Института Археологии (КСИА)

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“…This cross-sectional study was conducted in five pharmacies affiliated with the Faculty of Pharmacy of Tehran University of Medical Sciences (TUMS). The study was part of a research project conducted to evaluate different medication-related issues in the elderly (Zarif-Yeganeh et al, 2019;Kargar et al, 2019). In this study, insurance prescriptions for patients aged ≥65 years were included.…”

Section: Study Design and Samplingmentioning

confidence: 99%

Drug-drug interactions and potentially inappropriate medications among elderly outpatients

Atrianfar

Rezaei

Heidari

et al. 2021

Braz. J. Pharm. Sci.

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The high prevalence of concomitant chronic illnesses and the resulting higher number of medications in the elderly population increase the risk of adverse drug reactions due to drug-drug interactions (DDIs) and potentially inappropriate medications (PIMs). Therefore, the aim of this study was to investigate the prevalence and factors associated with DDIs and PIMs in outpatient geriatrics. In this cross-sectional study, 1512 prescriptions belonging to patients aged ≥65 years from five public pharmacies in Tehran were evaluated. Clinically relevant (C, D, and X) and significant DDIs (D and X) were documented according to the Lexicomp ® . Additionally, Zhan criteria were used to detect PIMs. At least one clinically relevant DDI was detected in 61.7% of the prescriptions containing ≥2 medications. The largest percentage of prescriptions with DDIs was prescribed by cardiologists (74.3%). The number of medications in prescriptions and the specialty of the prescriber significantly affected both clinically relevant and significant DDIs in a logistic regression model. At least one PIM was identified in 16.3% of the prescriptions. General practitioners (GPs) were the largest prescribers of PIMs. The mean number of medications was significantly higher in prescriptions with PIMs. In conclusion, clinically relevant DDIs are frequent in the elderly. In terms of PIMs, more attention should be paid to the education of GPs.

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“…Up to 75.8% of the residents aged ≥60 years had at least one chronic disease in China (13). Given their propensity for suffering from multiple diseases and concurrently taking various drugs, older adults represent a main population of irrational drug use (14)(15)(16). Therefore, it is necessary to understand the current situation of rational drug use among older adults and to analyze factors affecting their medication safety (14,17).…”

mentioning

confidence: 99%

Factors affecting the medication literacy of older adults and targeted initiatives for improvement: a cross-sectional study in central China

Mei,

Xu,

Cai

et al. 2024

Front. Public Health

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IntroductionThis study explored the state of rational drug use among older adults in central China, aiming to unveil factors influencing their medication literacy and proposing targeted improvement measures.MethodsA cross-sectional study involving 454 participants aged 60 and above was conducted in Hubei province between February 1 and May 30, 2023, with data collected through face-to-face interviews by pharmacists. Multiple logistic regression analysis was conducted to determine factors that affected medication literacy.ResultsOf the 412 valid questionnaires, findings revealed inadequate knowledge of rational drug use among older adults in central China. Those who fully understood (105, 25.49%, OR = 9.349, p < 0.001, 95%CI = 3.884–22.502) or partially understood (228, 55.34%, OR = 3.295, p = 0.002, 95%CI = 1.548–7.013) drug instructions exhibited significantly higher medication literacy than those who did not understand (79, 19.17%). Subsequent research revealed a lack of awareness in reading drug instructions or difficulty in understanding them. Most older adults seldom heard of but exhibited high acceptance of medication guidance services.DiscussionIn conclusion, the ability to comprehend drug instructions significantly influenced the medication literacy of older adults. Initiatives such as revising age-appropriate drug instructions could effectively enhance rational drug use among this demographic.

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Prescribing for geriatrics in Tehran; is it appropriate and rational?

Cited by 5 publications

References 26 publications

Одежда Красит Женщину: Мода На Бусы По Материалам Раскопок Сарматского Могильника В Хунедоаре Еимишане

Одежда Красит Женщину: Мода На Бусы По Материалам Раскопок Сарматского Могильника В Хунедоаре Еимишане

Drug-drug interactions and potentially inappropriate medications among elderly outpatients

Factors affecting the medication literacy of older adults and targeted initiatives for improvement: a cross-sectional study in central China

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