Stakeholders' views on the use of psychotropic medication in older people: a systematic review.

BACKGROUND: psychotropic medication use has been shown to increase with age and has been associated with increased risk of falls, strokes and mortality. Various guidelines, regulations and tools have been developed to reduce inappropriate prescribing, but this remains high. In order to understand the reasons for this, we aimed to systematically review healthcare professionals', patients' and family caregivers' attitudes towards the use of psychotropic medication in older people. METHODS: a systematic literature search was carried out from inception to September 2020 using PUBMED, EMBASE, PsycINFO and CINAHL and hand-searching of reference lists. Included studies investigated stakeholder views on psychotropic in adults over the age of 65. Findings were thematically synthesised. RESULTS: overall, there was an acceptance of long-term psychotropic medication for older people both living in the community and in residential care. While healthcare professionals were aware of guidelines for the use of benzodiazepines and psychotropic medicines, they identified barriers to following them on individual, team and organisational levels. Alternative non-pharmacological approaches were not always available or accepted by patients. CONCLUSION: psychotropic medicine use in older adults remains a complex issue, which needs to be addressed on a broad level. Attitudes of older people and healthcare professionals encourage long-term use. Meanwhile, various internal and external factors act as barriers to the use of non-drug alternatives in this population. In order to reduce overprescribing of psychotropics, there is a need to increase the acceptability and accessibility of alternative interventions in both care homes and the community

Large Deformation Effects in the N = Z 44Ti Compound Nucleus

The N = Z 44Ti* nucleus has been populated in Fusion Evaporation process at very high excitation energies and angular momenta using two entrance channels with different mass-asymmetry. The deformation effects in the rapidly rotating nuclei have been investigated through the energy distribution of the alpha-particle combined to statistical-model calculations. In the case of low-multiplicity events, the ratio between first particle emitted has been measured and shows significant disagreement with the predictions of the statistical-model. This may explain The large discrepancies observed in proton energy spectra measured in previous experiments performed in the same mass region.Comment: Proceeding of the 10th International Conference on Nuclear Reaction Mechanisms, Varenna Italy, June 9-13 2003. 10 pages, 6 figures, 1 tabl

Anisotropic intrinsic lattice thermal conductivity of phosphorene from first principles

Phosphorene, the single layer counterpart of black phosphorus, is a novel two-dimensional semiconductor with high carrier mobility and a large fundamental direct band gap, which has attracted tremendous interest recently. Its potential applications in nano-electronics and thermoelectrics call for a fundamental study of the phonon transport. Here, we calculate the intrinsic lattice thermal conductivity of phosphorene by solving the phonon Boltzmann transport equation (BTE) based on first-principles calculations. The thermal conductivity of phosphorene at $300\,\mathrm{K}$ is $30.15\,\mathrm{Wm^{-1}K^{-1}}$ (zigzag) and $13.65\,\mathrm{Wm^{-1}K^{-1}}$ (armchair), showing an obvious anisotropy along different directions. The calculated thermal conductivity fits perfectly to the inverse relation with temperature when the temperature is higher than Debye temperature ($\Theta_D = 278.66\,\mathrm{K}$). In comparison to graphene, the minor contribution around $5\%$ of the ZA mode is responsible for the low thermal conductivity of phosphorene. In addition, the representative mean free path (MFP), a critical size for phonon transport, is also obtained.Comment: 5 pages and 6 figures, Supplemental Material available as http://www.rsc.org/suppdata/cp/c4/c4cp04858j/c4cp04858j1.pd

Sensory Amplitude Electrical Stimulation via Sock Combined With Standing and Mobility Activities Improves Walking Speed in Individuals With Chronic Stroke: A Pilot Study

Objective: To determine if sensory amplitude electrical stimulation (SES) delivered via sock electrode combined with standing and mobility activities improved gait speed, sensation, balance, and participation in chronic stroke. It was hypothesized that SES would enhance the effectiveness of exercise, resulting in reduced impairment and improved function.Design: Case Series.Setting: Home-based intervention.Participants: Thirteen adults (56.5 + 7.84 years old) with chronic stroke (8.21 + 4.36 years post) and hemiparesis completed the study. Participants were community ambulators.Intervention: Participants completed 6 weeks of self-administered SES delivered via sock electrode concurrent with standing and mobility activities for a minimum of 5 days/week for 30-min, twice daily.Outcome Measures: Berg Balance Scale (BBS), Stroke Rehabilitation Assessment of Movement—LE subscale (STREAM), 10 Meter Walk Test (10 MWT), Activities-Specific Balance Confidence Scale (ABC), Stroke Impact Scale (SIS), Perceptual Threshold of Electrical Stimulation (PTTES), and Monofilament testing were administered at pre-test, post-test, and 3-month follow up.Results: Baseline sensory scores and change scores on functional outcomes were analyzed using Pearson Product-Movement Correlation Coefficients, Friedman test, and Linear mixed models. There was a significant change with 10 MWT self-selected pace (Friedman's p = 0.038). Pre-post intervention changes in other outcome measures were not significant. According to the Cohen's effect size classification, there were medium effect sizes for both the STREAM-LE and Monofilaments.Conclusion: The use of home-based SES via sock electrode combined with standing and mobility activities may contribute to improve gait speed in chronic stroke

Strong Deformation Effects in Hot Rotating 46Ti

Exotic-deformation effects in 46Ti nucleus were investigated by analysing the high-energy gamma-ray and the alpha-particle energy spectra. One of the experiments was performed using the charged-particle multi-detector array ICARE together with a large volume (4"x4") BGO detector. The study focused on simultaneous measurement of light charged particles and gamma-rays in coincidence with the evaporation residues. The experimental data show a signature of very large deformations of the compound nucleus in the Jacobi transition region at the highest spins. These results are compared to data from previous experiments performed with the HECTOR array coupled to the EUROBALL array, where it was found that the GDR strength function is highly fragmented, strongly indicating a presence of nuclei with very large deformation.Comment: 10 pages, 6 figures, Proceedings of the Zakopane Conference on Nuclear Physics, to be published in Acta Phys. Pol. B (2007

Application of Diamond Detectors in Tracking of Heavy Ion Slowed Down Radioactive Beams

Results of irradiation of thin Chemical Vapor Deposition (CVD) diamond detectors with low energy: p,α and 7Li beams are presented. Energy resolution: ΔE/E<1% of a single crystal detector was achieved. A coincident measurement with two diamond detectors showed time resolution of 100 ps and efficiency above 70%. Despite a high beam flux reaching 109 particles/s cm2 the tested detectors showed low dead-time and satisfactory radiation hardness. Perspectives of applying thin CVD diamond detectors in monitoring of a slowed down radioactive beam (RIB) are discussed.Spanish Ministry of Education and Science (MEC) FFPA2003-05958 and PA-2005-0446

In ovo injection of prebiotics and synbiotics affects the digestive potency of the pancreas in growing chickens

Abstract The purpose of the study was to examine the effect of 2 prebiotics and 2 synbiotics on the digestive potency of pancreas in 1-, 3-, 7-, 14-, 21-, and 34-day-old cockerels. Prebiotics (inulin and Bi2 tos) and synbiotics (inulin + Lactococcus lactis subsp. lactis and Bi2 tos + Lactococcus lactis subsp. cremoris) were injected in ovo into the air cell on the 12th d embryonic development. Their application increased the activity of amylase, lipase, and trypsin in the pancreas. The most pronounced changes were observed at the end of the investigated rearing period (d 34). The strongest stimulative effects on amylase were shown by both synbiotics, on lipase synbiotic Bi2 tos + Lactococcus lactis subsp. cremoris, and on trypsin all the used prebiotics and synbiotics. Simultaneously, neither the absolute nor the relative mass of the pancreas in comparison to control group were changed. Also, the injected in ovo compounds did not cause a deterioration in the posthatching condition of the chicken liver, as determined by measurement of the activity of marker enzymes in the blood (alanine aminotransferase and aspartate aminotransferase). Treatment with the prebiotics and synbiotics did not change the feed conversion ratio but Bi2 tos (galacto-oligosaccharide) and inulin (fructan) + Lactococcus lactis subsp. lactis significantly increased final BW

Band termination in the N=Z Odd-Odd Nucleus 46V

High spin states in the odd-odd N=Z nucleus 46V have been identified. At low spin, the T=1 isobaric analogue states of 46Ti are established up to I = 6+. Other high spin states, including the band terminating state, are tentatively assigned to the same T=1 band. The T=0 band built on the low-lying 3+ isomer is observed up to the 1f7/2-shell termination at I=15. Both signatures of a negative parity T=0 band are observed up to the terminating states at I = 16- and I = 17-, respectively. The structure of this band is interpreted as a particle-hole excitation from the 1d3/2 shell. Spherical shell model calculations are found to be in excellent agreement with the experimental results.Comment: 5 pages, 4 figure

High-spin states and band terminations in v 49

High-spin states in 49 V have been studied through the 28 Si(28 Si, α3p) reaction using the EUROBALL γ-ray detector array. The 49 V level scheme has been extended up to 13.1 MeV including 21 new states. Both negative and positive parity states have been interpreted in the framework of theShell Model. The 27/2− and the 31/2+ band termination states have been observed in agreement with theoretical predictions.Fil: Rodrigues Ferreira Maltez, Dario Pablo. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Comisión Nacional de Energía Atómica. Gerencia del Área de Investigación y Aplicaciones No Nucleares. Gerencia Física (Centro Atómico Constituyentes). Proyecto Tandar; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Física; ArgentinaFil: Hojman, Daniel Leonardo. Comisión Nacional de Energía Atómica. Gerencia del Área de Investigación y Aplicaciones No Nucleares. Gerencia Física (Centro Atómico Constituyentes). Proyecto Tandar; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Lenzi, Silvia M.. Istituto Nazionale Di Fisica Nucleare.; Italia. Università di Padova; ItaliaFil: Cardona, Maria Angelica. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Comisión Nacional de Energía Atómica. Gerencia del Área de Investigación y Aplicaciones No Nucleares. Gerencia Física (Centro Atómico Constituyentes). Proyecto Tandar; Argentina. Universidad Nacional de San Martín. Escuela de Ciencia y Tecnología; ArgentinaFil: Fernea, Enrico. Università di Padova; Italia. Istituto Nazionale Di Fisica Nucleare.; ItaliaFil: Axiotis, M.. Istituto Nazionale Di Fisica Nucleare.; ItaliaFil: Beck, C.. Université de Strasbourg; Francia. Centre National de la Recherche Scientifique; FranciaFil: Bednarczyk, P.. Polish Academy of Sciences; ArgentinaFil: Bizzetti, P. G.. Università di Padova; Italia. Istituto Nazionale Di Fisica Nucleare.; ItaliaFil: Bizzetti Sona, A. M.. Università di Padova; Italia. Istituto Nazionale Di Fisica Nucleare.; ItaliaFil: Della Vedova, F.. Università di Padova; Italia. Istituto Nazionale Di Fisica Nucleare.; ItaliaFil: Grebosz, J.. Polish Academy of Sciences; ArgentinaFil: Haas, F.. Université de Strasbourg; Francia. Centre National de la Recherche Scientifique; FranciaFil: Kmiecik, M.. Polish Academy of Sciences; ArgentinaFil: Maj, A.. Polish Academy of Sciences; ArgentinaFil: Męczyński, W.. Polish Academy of Sciences; ArgentinaFil: Napoli, D. R.. Istituto Nazionale Di Fisica Nucleare.; ItaliaFil: Nespolo, M.. Università di Padova; Italia. Istituto Nazionale Di Fisica Nucleare.; ItaliaFil: Papka, P.. Université de Strasbourg; Francia. Centre National de la Recherche Scientifique; FranciaFil: Sánchez i Zafra, A.. Université de Strasbourg; Francia. Centre National de la Recherche Scientifique; FranciaFil: Styczen, J.. Polish Academy of Sciences; ArgentinaFil: Thummerer, S.. Alfred-Wegener-Institut, Helmholtz-Zentrum für Polar- und Meeresforschung; AlemaniaFil: Ziębliński, M.. Polish Academy of Sciences; Argentin

Pygmy dipole resonance in Ce 140 via inelastic scattering of O 17

M. Krzysiek et al. ; 8 págs.; 7 figs. ; 2 tabs.The γ decay from the high-lying states of Ce140 excited via inelastic scattering of O17 at a bombarding energy of 340 MeV was measured using the high-resolution AGATA-demonstrator array in coincidence with scattered ions detected in two segmented ΔE-E silicon detectors. Angular distributions of scattered ions and emitted γ rays were measured, as well as their differential cross sections. The excitation of 1- states below the neutron separation energy is similar to the one obtained in reactions with the α isoscalar probe. The comparison between the experimental differential cross sections and the corresponding predictions using the distorted-wave Born approximation allowed us to extract the isoscalar component of identified 1- pygmy states. For this analysis the form factor obtained by folding microscopically calculated transition densities and optical potentials was used. ©2016 American Physical SocietyThis work has been partly supported by the stipend from Marian Smoluchowski Krakow Research Consortium ’Matter-Energy-Future’ as a Leading National Research Center (KNOW) and also by several grants: the Polish National Science Centre under Contracts No. 2015/17/B/ST2/01534, No. 2013/09/N/ST2/04093, No. 2013/08/M/ST2/00591, and No. 2011/03/B/ST2/01894; US-NSF Grants No. PHY-1204486 and No. PHY-1404343; Croatian Science Foundation under Project No. IP-2014-09-9159; the Spanish Ministerio de Economía y Competitividad under Contract No. FPA2014-57196-C5-4-P. Also, A. Gadea has been supported by MINECO, Spain, under Grant No. FPA2014-57196-C5; Generalitat Valenciana, Spain, under Grant No. PROMETEOII/2014/019; and the EU under the FEDER program. The research leading to these results has also received funding from the European Union Seventh Framework Programme FP7/2007-2013 under Grant Agreement No. 262010 - ENSAR.Peer Reviewe