Search results for " Sam"

showing 10 items of 1096 documents

Comparing Long-Acting Antipsychotic Discontinuation Rates Under Ordinary Clinical Circumstances: A Survival Analysis from an Observational, Pragmatic…

2021

Background Recent guidelines suggested a wider use of long-acting injectable antipsychotics (LAI) than previously, but naturalistic data on the consequences of LAI use in terms of discontinuation rates and associated factors are still sparse, making it hard for clinicians to be informed on plausible treatment courses. Objective Our objective was to assess, under real-world clinical circumstances, LAI discontinuation rates over a period of 12 months after a first prescription, reasons for discontinuation, and associated factors. Methods The STAR Network ‘Depot Study’ was a naturalistic, multicentre, observational prospective study that enrolled subjects initiating a LAI without restrictions …

MalePediatricsrespectively)0302 clinical medicineDelayed-Action PreparationBrief Psychiatric Rating ScalePharmacology (medical)he STAR Network ‘Depot Study’ prospectively followed 394 subjects initiating treatment with long-acting injections (LAIs) of antipsychotics under naturalistic conditions for 12 months. LAI discontinuation was frequent in everyday clinical practice in ItalyOriginal Research ArticleProspective StudiesProspective cohort studytreatmentMental DisordersHazard ratiowhereas more than half of participants initiating risperidone LAI and olanzapine LAI discontinued during the 12 months of follow-up (51.4 and 62.5%Psychiatric Status Rating ScaleMiddle Agedside efectsPsychiatry and Mental healthItalyMental DisorderFemalehe STAR Network ‘Depot Study’ prospectively followed 394 subjects initiating treatment with long-acting injections (LAIs) of antipsychotics under naturalistic conditions for 12 months. LAI discontinuation was frequent in everyday clinical practice in Italy occurring in almost 40% of the entire sample; side efects participant refusal to continue LAIs and LAIs no longer being required were the most frequently reported reasons for discontinuation. Paliperidone LAI and aripiprazole LAI were the least discontinued medications (33.9 and 35.4% respectively) whereas more than half of participants initiating risperidone LAI and olanzapine LAI discontinued during the 12 months of follow-up (51.4 and 62.5% respectively). In multivariate analysis being prescribed olanzapine LAI and poor medication adherence at baseline were signifcantly associated with higher discontinuation risk.HumanAntipsychotic Agentsmedicine.drugPsychopathologyAdultmedicine.medical_specialtyDiscontinuationFollow-Up StudieMedication Adherence03 medical and health sciencesmedicineHumansPaliperidoneAdverse effectSettore MED/25 - Psichiatriadiscontinuation ratesPsychiatric Status Rating Scalesrespectively). In multivariate analysisbusiness.industryLong-Acting Antipsychoticlong-acting injectable antipsychoticsSurvival AnalysisConfidence intervalparticipant refusal to continue LAIs and LAIs no longer being required were the most frequently reported reasons for discontinuation. Paliperidone LAI and aripiprazole LAI were the least discontinued medications (33.9 and 35.4%030227 psychiatryDiscontinuationProspective StudieAntipsychotic Agentoccurring in almost 40% of the entire sampleDelayed-Action PreparationsNeurology (clinical)business030217 neurology & neurosurgerybeing prescribed olanzapine LAI and poor medication adherence at baseline were signifcantly associated with higher discontinuation riskFollow-Up Studies
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Toward empirically based criteria for the classification of somatoform disorders

1999

Abstract There is a major need for an empirical evaluation of classification criteria for somatoform disorders. The present study analyzes psychometric properties of the existing criteria for somatization disorder. The full sample consisted of 324 patients seeking help because of “psychosomatic problems.” Data from a subsample of carefully diagnosed patients with somatization syndrome (n=76) and a clinical comparison group (n=32) permitted the analysis of the discriminative power of items. Twenty-one somatic symptoms adopted from DSM-IV and ICD-10 criteria did not exhibit the necessary psychometric characteristics (item probability, item-total correlation, etc.). Thirty-two somatic symptoms…

MalePsychiatric Status Rating ScalesNosologymedicine.medical_specialtyPsychometricsCultureSick RoleReproducibility of ResultsObservationMiddle Agedmedicine.diseaseFull samplePsychiatry and Mental healthClinical PsychologymedicineHumansFemaleSomatization disorderSomatoform DisordersAttributionPsychiatryPsychologySomatizationIllness behaviorClinical psychologyJournal of Psychosomatic Research
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Targeting quality of life in asthmatic children: The MyTEP pilot randomized trial

2019

Abstract Background Quality of life (QoL) is an important outcome in the management of children with asthma. Mobile Health (m-Health) and Therapeutic Education Programs (TEPs) are increasingly recognized as essential components of pediatric asthma management to improve disease outcomes. Objective To evaluate the effect of an education program (MyTherapeutic Education Program, MyTEP) that couples multidisciplinary TEP intervention with an m-Health Program (mHP) in improving QoL in asthmatic children. Methods This single-center study employed a nonblinded randomized clinical trial design. Italian-speaking children (6–11 years) with mild-moderate asthma were eligible for participation. Partici…

MalePulmonary and Respiratory Medicinemedicine.medical_specialtyTherapeutic educationlaw.invention03 medical and health sciences0302 clinical medicinePatient Education as TopicQuality of lifeRandomized controlled trialRisk FactorsAsthma Children Quality of life Therapeutic education Mobile healthlawSurveys and QuestionnairesmedicineHumansMobile health030212 general & internal medicineChildChildrenAsthma Children Quality of life Therapeutic education Mobile healthAsthmaDescriptive statisticsbusiness.industrySmall sampleTherapeutic educationmedicine.diseaseAsthmaTelemedicineAsthmatic childrenItaly030228 respiratory systemSpirometrySmartphone appQuality of LifePhysical therapyFemalebusinessFollow-Up StudiesRespiratory Medicine
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Changes of QTc interval after opioid switching to oral methadone.

2013

Abstract A consecutive sample of patients who were switched from strong opioids to methadone in a period of 1 year was surveyed. QTc was assessed before switching (T0) and after achieving adequate analgesia and an acceptable level of adverse effects (Ts). Twenty-eight of 33 patients were switched to methadone successfully. The mean initial methadone doses at T0 were 67.1 mg/day (SD ±80.2, range 12-390). The mean QTc interval at T0 was 400 ms (SD ±30, range 330-450). The mean QTc interval at Ts (median 5 days) was 430 ms (SD ±26, range 390-500). The difference (7.7 %) was significant (p < 0.0005). Only two patients had a QTc of 500 ms. No serious arrhythmia was observed. At the linear regres…

MaleRiskCancer pain; Methadone; QT prolongation; Toxicity; Opioid switchingPainSettore MED/41 - AnestesiologiaQT prolongationSettore MED/42 - Igiene Generale E ApplicataQT intervalCONSECUTIVE SAMPLEElectrocardiographyNeoplasmsOpiate Substitution TreatmentmedicineHumansIn patientcardiovascular diseasesCancer painAdverse effectAgedToxicitybusiness.industryMiddle AgedAnalgesics OpioidLong QT SyndromeOncologyOpioidAnesthesiaToxicityLinear Modelscardiovascular systemOpioid switchingFemaleCancer painbusinessMethadoneMethadonemedicine.drug
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The moderating role of meaning in life in the relationship between perceived stress and diurnal cortisol.

2018

Previous studies have suggested that meaning in life may buffer the negative effects of stress. This study is the first to investigate the moderating role of meaning in life in the relationship between the perception of stress and diurnal cortisol in two independent samples of healthy adults. In study 1 (n = 172, men = 82, women = 90, age range = 21-55 years, mean age = 37.58 years), the results of moderated regression analyses revealed that there was a significant positive relationship between overall perceived stress in the past month and both diurnal cortisol levels (area-under-the-curve with respect to the ground; AUCg) and the diurnal cortisol slope (DCS) only in individuals with low l…

MaleSALIVARY CORTISOLMARITAL-STATUSHydrocortisonePhysiologySocial Sciences050109 social psychologyPersonal SatisfactionDevelopmental psychologyBehavioral Neuroscience0302 clinical medicineStress (linguistics)Cortisol levelmedia_common05 social sciencesWOMENPerceived stressMiddle AgedCircadian RhythmCOMMUNITYmeaning in lifePsychiatry and Mental healthNeuropsychology and Physiological PsychologySECRETIONPositive relationshipFemaleHEALTHPsychologyGoalsAdultAdolescentmedia_common.quotation_subjectdiurnal cortisol levelsCOGNITIVE PERFORMANCEEVENTS03 medical and health sciencesYoung AdultAWAKENING RESPONSEPerceptionIndependent samplesHumans0501 psychology and cognitive sciencesMeaning (existential)SalivaEndocrine and Autonomic SystemsHPA axisPURPOSEdiurnal cortisol slopeSocioeconomic FactorsQuality of Life030217 neurology & neurosurgeryStress PsychologicalForecastingPsychophysiologyStress (Amsterdam, Netherlands)
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Differences between Human Plasma and Serum Metabolite Profiles

2011

BackgroundHuman plasma and serum are widely used matrices in clinical and biological studies. However, different collecting procedures and the coagulation cascade influence concentrations of both proteins and metabolites in these matrices. The effects on metabolite concentration profiles have not been fully characterized.Methodology/principal findingsWe analyzed the concentrations of 163 metabolites in plasma and serum samples collected simultaneously from 377 fasting individuals. To ensure data quality, 41 metabolites with low measurement stability were excluded from further analysis. In addition, plasma and corresponding serum samples from 83 individuals were re-measured in the same plate…

MaleSerumClinical Research DesignEpidemiologyScienceMetaboliteProtein metabolismType 2 diabetesPharmacologyBiologyBiochemistryPlasmachemistry.chemical_compoundDiagnostic MedicineBlood plasmaPathologymedicineMetabolomeHumansClinical EpidemiologyBiologyAgedAged 80 and overClinical ChemistryReproducibilityMultidisciplinaryChromatographyQChromatography; Metabolomics; Collection; Samples; Issues; AcidRReproducibility of ResultsMiddle Agedmedicine.diseaseClinical Laboratory SciencesBiomarker EpidemiologychemistrySmall MoleculesBlood ChemistryMetabolomeMedicineBiomarker (medicine)FemaleBiomarkersDrug metabolismResearch ArticleGeneral PathologyPLoS ONE
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The Role of Recollection and Familiarity in Nondemented Parkinson's Patients

2017

The aim of the current study was to examine if recollection and familiarity decline in nondemented Parkinson's patients. To do so we compared a sample of older people with Parkinson's disease (n = 32) to a control sample of healthy older people (n = 32) on an associative recognition task in which we manipulated the repetition of the pairs during the study phase (half of the pairs were presented once and half twice) to obtain corrected estimates of recollection, familiarity, and false recognition based on the logic of the process-dissociation procedure. The results clearly show that recollection is impaired but familiarity is preserved in nondemented Parkinson's patients. The results show th…

MaleStudy phaseParkinson's diseaseExperimental and Cognitive PsychologyNeuropsychological Tests050105 experimental psychologyGender Studies03 medical and health sciences0302 clinical medicineArts and Humanities (miscellaneous)medicineHumans0501 psychology and cognitive sciencesControl sampleAgedAged 80 and overRecall05 social sciencesParkinson DiseaseRecognition PsychologyMiddle Agedmedicine.diseaseFalse recognitionMental RecallFemaleOlder peoplePsychology030217 neurology & neurosurgeryCognitive psychologyThe Journal of General Psychology
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Towards the potential use of (1)H NMR spectroscopy in urine samples for prostate cancer detection

2014

A simple method based in multivariate analysis of 1H NMR spectra profiles of urine samples can be used to detect patients with prostate cancer.

MaleUrine samples1h nmr spectroscopyMagnetic Resonance SpectroscopyPerformanceAnalytical chemistryUrineUrinalysisBiochemistryAnalytical ChemistryProstate cancerMetabolomicsValidationElectrochemistrymedicineSecretionsHumansEnvironmental ChemistryMetabolomicsPROYECTOS DE INGENIERIASpectroscopyChromatographyProstate cancerChemistryfungiQUIMICA INORGANICAProstateProstatic Neoplasmsfood and beverages1H NMRmedicine.diseaseTissuesMultivariate analysisProton NMR
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Toxoplasma gondii seroprevalence in extensively farmed wild boars (Sus scrofa) in Denmark

2019

Toxoplasma gondii is a zoonotic parasite of worldwide importance. In this study, we estimated T. gondii seroprevalence in extensively farmed wild boars in Denmark, where little is known about T. gondii in animal hosts. Our study focused on wild boars because they are considered good indicator species for the presence of T. gondii, and wild boar meat is used for human consumption. Serum samples from 101 wild boars collected in 2016-2018 from five different locations from the continental part of Denmark, Jutland, were screened for anti-T. gondii antibodies. The samples were analysed using a commercial indirect enzyme-linked immunosorbent assay (ELISA). Samples from 28 (27.7%) of the 101 wild …

MaleVeterinary medicineendocrine systemFarmsMeat040301 veterinary sciencesSwineDenmarkSus scrofaAntibodies ProtozoanToxoplasma gondiiAnimals Wild413 Veterinary scienceBrief CommunicationWild boar0403 veterinary scienceHunting seasonZoonosisWild boarSeroepidemiologic Studiesbiology.animalparasitic diseasesParasite hostingSeroprevalenceAnimalsPotential sourceSwine Diseaseslcsh:Veterinary medicineGeneral Veterinarybiologyurogenital system0402 animal and dairy scienceToxoplasma gondii04 agricultural and veterinary sciencesGeneral MedicineSerum samplesbiology.organism_classification040201 dairy & animal science3. Good healthToxoplasmosis AnimalSerologylcsh:SF600-1100FemaleToxoplasmaActa Veterinaria Scandinavica
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The use of opioids in the last week of life in an acute palliative care unit.

2010

The aim of this survey was to assess the opioid use in the last week of life of cancer patients admitted at an acute palliative care unit. From a consecutive sample of patients surveyed for a period of one year, patients who died in the unit were selected. Type of opioid, route of administration, and doses were recorded one week before death (or at admission time if the interval admission-death was less than one week) (-7), and on the day of death (Tend). Seventy-seven patients died in the unit in the period taken into consideration (12.4%). Oral morphine equivalents were 170 mg/day and 262 mg/day at -7 and Tend, respectively. Patients were receiving transdermal drugs or intravenous morphi…

Malecancer patientmedicine.medical_specialtyPalliative careUnit (housing)CONSECUTIVE SAMPLEIntravenous morphineNeoplasmsmedicineHumanssurveyIntensive care medicineAgedTerminal Careopioid useMorphinebusiness.industryDrug Administration RoutesOpioid usePalliative CareCancerGeneral MedicineMiddle Agedsurvey; opioid use; cancer patients; palliative caremedicine.diseaseDrug UtilizationAnalgesics OpioidItalyInjections IntravenousFemalebusiness
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