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

effect of in ovo administration of different synbiotics on carcass and meat quality traits in broiler chickens

ABSTRACT The aim of this study was to examine the effect of in ovo synbiotic administration on slaughter performance and meat quality traits of broiler chickens. On day 12 of incubation, 5,850 eggs (Cobb 500 FF) were randomly divided into 3 experimental groups and automatically injected in ovo with physiological saline (control, C) and 2 different synbiotic formulations (SYN1: Lactobacillus salivarius + galactooligosaccharides; SYN2: Lactobacillus plantarum + raffinose family oligosaccharides). After hatching, 240 males were randomly chosen (80 chicks per group) and split into 8 replicate pens (10 birds per pen). At 42 d of age, 15 birds per treatment were weighed and slaughtered. In ovo synbiotic administration had a low effect on investigated traits, but depends on the kind of synbiotic administered. Both synbiotic formulations did not affect final BW, weight, and yield of carcass and pectoral muscle (PM); likewise, physicochemical properties (pH, color, water holding capacity), intramuscular collagen properties, and cholesterol content of PM were not affected by treatment. Synbiotic administration reduced (P = 0.061) the lipid content compared with C group, markedly (

prebiotics offered to broiler chicken exert positive effect on meat quality traits irrespective of delivery route

Elimination of antibiotic growth promoters from poultry production has encouraged intensive search for relevant alternatives. Prebiotics are proposed as efficient replacements to stimulate colonization/expansion of beneficial microflora in chickens. The aim of this study was to deepen the knowledge on the effect of prebiotic administration on slaughter performance and meat quality traits of broiler chickens by evaluating different routes of their delivery (in ovo vs. in-water vs. in ovo + in-water). At d 12 of incubation, 1,500 eggs (Ross 308) containing viable embryos were randomly allotted into 4 groups and injected in ovo with 0.2 mL solution containing: 3.5 mg/embryo BI (Bi²tos, trans-galactooligosaccharides); 0.88 mg/embryo DN (DiNovo, extract of Laminaria spp.); 1.9 mg/embryo RFO (raffinose family oligosaccharides) and 0.2 mL physiological saline (C). All prebiotics increased final BW compared to C group (P < 0.01), irrespective of delivery route. The prebiotics injected in ovo (T1) or in ovo combined with in-water supplementation (T2) increased carcass weight as compared with in-water group (T3), while T3 had the lowest carcass yield compared to the other groups. All prebiotics increased breast muscle weight and yield (P < 0.01), as well as fiber diameter (P < 0.05). Ultimate meat pH was lower (P < 0.01) in T3 than in T2 group. Meat from chickens treated with prebiotics showed a lower redness index, while lightness and yellowness were not affected by the treatments. Saturated fatty acid (SFA), polyunsaturated fatty acid (PUFA) and n-3 fatty acids contents were higher (P < 0.01), and monounsaturated fatty acid (MUFA) level was lower (P < 0.01) in prebiotic groups compared with C group. Nutritional indexes (n-6/n-3, PUFA/SFA ratio and thrombogenic index) displayed favorable human health-promoting values in the meat of chickens which were treated with prebiotics, irrespective of delivery route. Muscle cholesterol content was not affected by prebiotics. In conclusion, this study has shown that prebiotics can exert positive effects on growth of broiler chickens, carcass and meat quality traits, irrespective of delivery route

Reverse Bisimulations on Stable Configuration Structures

The relationships between various equivalences on configuration structures, including interleaving bisimulation (IB), step bisimulation (SB) and hereditary history-preserving (HH) bisimulation, have been investigated by van Glabbeek and Goltz (and later Fecher). Since HH bisimulation may be characterised by the use of reverse as well as forward transitions, it is of interest to investigate forms of IB and SB where both forward and reverse transitions are allowed. We give various characterisations of reverse SB, showing that forward steps do not add extra power. We strengthen Bednarczyk's result that, in the absence of auto-concurrency, reverse IB is as strong as HH bisimulation, by showing that we need only exclude auto-concurrent events at the same depth in the configuration

Band offsets at the GaInP/GaAs heterojunction

We have measured current–voltage curves and the temperature dependence of the zero bias conductance for a p -type Be-doped GaInP/GaAs heterojunction grown by the molecular beam epitaxy method. We have determined the valence band offset ΔEν from both measurements and find it to be 310 meV within 5% of accuracy. Similarly, we find for an n -type Si-doped sample that the conduction band offset ΔEC is 95 meV. First-principles calculations have been carried out for the atomic and electronic structures of the interfaces. For the thermodynamically favored interfaces, the valence band offset is found not to be sensitive to atomic relaxations at the interface. The calculated values are in good agreement with the experiments.Peer reviewe

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

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

63 Napromienianie przedoperacyjne u chorych na raka dolnej części odbytnicy

Od marca 1996 do czerwca 1998, u 47 chorych na raka dolnej części odbytnicy (dolna granica guza do 6 cm od brzegu odbytu) zastosowano napromienianie przedoperacyjne dawką 25 Gy we frakcjach po 5 Gy podaną w czasie tygodnia. Operację wykonano 1–7 dni po zakończeniu radioterapii. Odsetek ostrych powikłań popromiennych i ich nasilanie było umiarkowane. Niską resekcję przednią wykonano u 24 (51%) chorych, amputację odbytnicy sposobem brzuszno-kroczowym u 19 (40%), operację Hartmannu u 2 (4%) i (74%) chorych w podgrupie, w której nowotwór nie naciekał zwieraczy. Usuwano całe mezorektum. Margines pomiędzy dolnym brzegiem makroskopowo widocznego guza, a cięciem chirurgicznym jelita wynosił od 0,1 cm do 3 cm, mediana 0,8 cm (nie uwzględniono krążków ze staplera).Wszyscy chorzy przeżyli operację 30-dniowy okres pooperacyjny. Odsetek powikłań pooperacyjnych nie odbiegał znacząco od obserwowanych po porównywalnych operacjach u chorych nienapromienianych. Uzupełniającą chemioterapię otrzymało 20 chorych (43%). Okres obserwacji wynosi od 7 miesięcy do 30 miesięcy, mediana 15 miesięcy. Wznowę miejscową obserwowano w dwóch przypadkach (8%); późne powikłania popromienne pod postacią bólów w okolicy krzyżowej u dwóch chorych (8%).Wczesne wyniki sugerują wysoką miejscową skuteczność leczenia przy stosunkowo niewielkim odsetku powikłań i znacznym odsetku chorych z zachowanymi zwieraczami

Binary reaction decays from 24Mg+12C

Charged particle and gamma decays in 24Mg* are investigated for excitation energies where quasimolecular resonances appear in 12C+12C collisions. Various theoretical predictions for the occurence of superdeformed and hyperdeformed bands associated with resonance structures with low spin are discussed within the measured 24Mg* excitation energy region. The inverse kinematics reaction 24Mg+12C is studied at E_lab(24Mg) = 130 MeV, an energy which enables the population of 24Mg states decaying into 12C+12C resonant break-up states. Exclusive data were collected with the Binary Reaction Spectrometer in coincidence with EUROBALL IV installed at the VIVITRON Tandem facility at Strasbourg. Specific structures with large deformation were selectively populated in binary reactions and their associated gamma decays studied. Coincident events associated with inelastic and alpha-transfer channels have been selected by choosing the excitation energy or the entry point via the two-body Q-values. The analysis of the binary reaction channels is presented with a particular emphasis on 24Mg-gamma, 20Ne-gamma and 16O-gamma coincidences. New information (spin and branching ratios) is deduced on high-energy states in 24Mg and 16O, respectively.Comment: 27 pages, 8 figures, 1 tabl

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