74 research outputs found

    MEDREV (pharmacy-health psychology intervention in people living with dementia with behaviour that challenges):the feasibility of measuring clinical outcomes and costs of the intervention

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    BACKGROUND: People living with dementia in care homes frequently exhibit "behaviour that challenges". Anti-psychotics are used to treat such behaviour, but are associated with significant morbidity. This study researched the feasibility of conducting a trial of a full clinical medication review for care home residents with behaviour that challenges, combined with staff training. This paper focusses on the feasibility of measuring clinical outcomes and intervention costs. METHODS: People living with moderate to severe dementia, receiving psychotropics for behaviour that challenges, in care homes were recruited for a medication review by a specialist pharmacist. Care home and primary care staff received training on the management of challenging behaviour. Data were collected at 8 weeks, and 3 and 6 months. Measures were Neuropsychiatric Inventory-Nursing Home version (NPI-NH), cognition (sMMSE), quality of life (EQ-5D-5 L/DEMQoL) and costs (Client Services Receipt Inventory). Response rates, for clinical, quality of life and health economic measures, including the levels of resource-use associated with the medication review and other non-intervention costs were calculated. RESULTS: Twenty-nine of 34 participants recruited received a medication review. It was feasible to measure the effects of the complex intervention on the management of behaviour that challenges with the NPI-NH. There was valid NPI-NH data at each time point (response rate = 100%). The sMMSE response rate was 18.2%. Levels of resource-use associated with the medication review were estimated for all 29 participants who received a medication review. Good response levels were achieved for other non-intervention costs (100% completion rate), and the EQ-5D-5 L and DEMQoL (≥88% at each of the time points where data was collected). CONCLUSIONS: It is feasible to measure the clinical and cost effectiveness of a complex intervention for behaviour that challenges using the NPI-NH and quality of life measures. TRIAL REGISTRATION: ISRCTN58330068. Retrospectively registered, 15 October 2017

    Utilisation of the static Evans method to measure magnetic susceptibilities of transition metal acetylacetonate complexes as part of an undergraduate inorganic laboratory class

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    The Evans method is routinely utilised to collect paramagnetic susceptibility data via the employment of relevant Nuclear Magnetic Resonance (NMR) methods. As the sample is normally spun, the lack of such a function on benchtop NMR instrumentation required a “static” approach to be employed. We have utilised the static Evan’s method approach to measure the magnetic susceptibilities, and subsequently the effective magnetic moment, of a series of synthesised transition metal acetylacetonate complexes in order to appraise the d-electron configuration. The obtained values were compared to those obtained using a Guoy balance and theoretical calculations. The collection of T1 relaxation data further exemplifies the effect of the paramagnetic centre in terms of aiding relaxation, and therefore links to Magnetic Resonance Imaging (MRI) contrast agents, thus providing students with real-world perspective of the experiment conducted
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