Risultati per: Malattia di Parkinson, stop al tremore con gli ultrasuoni

Schillaci, priorità con la manovra. Medici e aziende la bocciano

Indipendentemente da fattori legati alla malattia

Indipendentemente da fattori legati alla malattia

Sono assicurati carriera e riposo ed evitati medici globetrotter

Lo rende noto Takeda. Possibile somministrarlo dai 4 anni di età

Piano triennale finanziato con 287.000 euro

Una nuova ricerca collega le proteine anomale che si accumulano nel cervello con una forma di suicidio cellulare innescata da una molecola specifica Meg3: la sua inibizione prevenire la morte neuronale

L’8/9 la giornata mondiale. Gemmato: ‘Sì allo screening in età fertile’

Introduction
Minimal trauma fractures (MTFs) often occur in older patients with osteoporosis and may be precipitated by falls risk-increasing drugs. One category of falls risk-increasing drugs of concern are those with sedative/anticholinergic properties. Collaborative medication management services such as Australia’s Home Medicine Review (HMR) can reduce patients’ intake of sedative/anticholinergics and improve continuity of care. This paper describes a protocol for an randomised controlled trial to determine the efficacy of an HMR service for patients who have sustained MTF.

Method and analysis
Eligible participants are as follows: ≥65 years of age, using ≥5 medicines including at least one falls risk-increasing drug, who have sustained an MTF and under treatment in one of eight Osteoporosis Refracture Prevention clinics in Australia. Consenting participants will be randomised to control (standard care) or intervention groups. For the intervention group, medical specialists will refer to a pharmacist for HMR focused on reducing falls risk predominately through making recommendations to reduce falls risk medicines, and adherence to antiosteoporosis medicines. Twelve months from treatment allocation, comparisons between groups will be made. The main outcome measure is participants’ cumulative exposure to sedative and anticholinergics, using the Drug Burden Index. Secondary outcomes include medication adherence, emergency department visits, hospitalisations, falls and mortality. Economic evaluation will compare the intervention strategy with standard care.

Ethics and dissemination
Approval was obtained via the New South Wales Research Ethics and Governance Information System (approval number: 2021/ETH12003) with site-specific approvals granted through Human Research Ethics Committees for each research site. Study outcomes will be published in peer-reviewed journals. It will provide robust insight into effectiveness of a pharmacist-based intervention on medicine-related falls risk for patients with osteoporosis. We anticipate that this study will take 2 years to fully accrue including follow-up.

Trial registration number
ACTRN12622000261718.

Hanno il 61% in più di probabilità di ammalarsi

Causata da batteri Borrelia burgdorferi, trasmessi dalla puntura di zecca infetta

Verso la manovra. Oggi il ministro della Salute Schillaci vede il collega all’Economia Giorgetti:priorità per gli incentivi ai sanitari e la sterilizzazione del miliardo a carico delle imprese biomedicali