| 000 | 03342cam a2200349 a 4500 | ||
|---|---|---|---|
| 003 | EG-GiCUC | ||
| 005 | 20250223031950.0 | ||
| 008 | 180402s2017 ua d f m 000 0 eng d | ||
| 040 |
_aEG-GiCUC _beng _cEG-GiCUC |
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| 041 | 0 | _aeng | |
| 049 | _aDeposite | ||
| 097 | _aM.Sc | ||
| 099 | _aCai01.11.08.M.Sc.2017.Di.P | ||
| 100 | 0 | _aDina Fares Mohammed Morsy | |
| 245 | 1 | 0 |
_aPolypharmacy problem in a group of diabetic patients attending Kasr Alainy Diabetes clinic : _bmagnitude and potential solutions / _cDina Fares Mohammed Morsy ; Supervised Hanaa Abdullah Abou Zeina , Eman Taher , Nihal Hamdy Elsaid |
| 246 | 1 | 5 |
_aمشكلة الإفراط الدوائي بين مجموعة من مرضى السكر المتواجدين في عيادة السكر بقصر العيني : _bالحجم و مقومات الحلول |
| 260 |
_aCairo : _bDina Fares Mohammed Morsy , _c2017 |
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| 300 |
_a119 P. : _bcharts ; _c25cm |
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| 502 | _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Community Medicine | ||
| 520 | _aBackground: Diabetics are usually with several co morbidities, necessitating the use of multiple medications. Studies have shown that the use of many medications is connected to negative health outcomes like adverse medication reactions and medication-medication interactions. Aim: A controlled polypharmacy among diabetics attending Kasr Al-ainy Diabetes Clinic (KADC). This is through estimating polypharmacy among a group of KADC attendants, identifying associated factors and suggested solutions. Methodology: A cross sectional study. A purposive -non random- sample of 219 adult diabetics who were repeated utilizers of KADC were interviewed. In depth interview was conducted with five of KADC physicians. Utilization records of KADC were reviewed. A five and more medications in the previous week was used to define polypharmacy. Results: The prevalence of polypharmacy was 22.8%. Age ({u2265}60 years), duration since diagnosed as diabetic ({u2265}5 years), using both insulin and oral hypoglycemics, number of visits to KADC (> 6 visits) and viewing polypharmacy as harmful were found to be significantly associated with polypharmacy. Among the interviewed physicians, there was no consensus regarding the definition of polypharmacy, and consequently its prevalence among KADC attendants. There was a consensus that multiple medications in managing diabetes and co morbidities may be the case, however, in need of a responsible review from KADC physician. The low economic and educational levels of KADC attendants are aggravating the problem. Conclusion: Use of multiple medications may be the case among patients with a chronic disease with co morbidities like diabetes. However, irrational use among KADC attandents is a function of poor economic and educational status. Greater responsibility is shouldered by the caring physicians in controlling polypharamcy | ||
| 530 | _aIssued also as CD | ||
| 653 | 4 | _aDiabetes | |
| 653 | 4 | _aKasr Alainy diabetes clinic | |
| 653 | 4 | _aPolypharmacy | |
| 700 | 0 |
_aEman Taher , _eSupervisor |
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| 700 | 0 |
_aHanaa Abdullah Abou Zeina , _eSupervisor |
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| 700 | 0 |
_aNihal Hamdy Elsaid , _eSupervisor |
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| 856 | _uhttp://172.23.153.220/th.pdf | ||
| 905 |
_aNazla _eRevisor |
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| 905 |
_aShimaa _eCataloger |
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| 942 |
_2ddc _cTH |
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| 999 |
_c65681 _d65681 |
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