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  • 1
    Online Resource
    Online Resource
    SAGE Publications ; 2024
    In:  The International Journal of Psychiatry in Medicine Vol. 59, No. 3 ( 2024-05), p. 393-405
    In: The International Journal of Psychiatry in Medicine, SAGE Publications, Vol. 59, No. 3 ( 2024-05), p. 393-405
    Abstract: Psychiatric patients in general, and elderly psychiatric patients in particular, are at risk of adverse drug reactions due to comorbidities and inappropriate polypharmacy. Interdisciplinary and clinical-pharmacologist-led medication reviews may contribute to medication safety in the field of psychiatry. In this study, we reported the frequency and characteristics of clinical-pharmacological recommendations in psychiatry, with a particular focus on geriatric psychiatry. Method A clinical pharmacologist, in collaboration with the attending psychiatrists and a consulting neurologist, conducted interdisciplinary medication reviews in a general psychiatric ward with a geropsychiatric focus at a university hospital over a 25-week period. All clinical and pharmacological recommendations were recorded and evaluated. Results A total of 316 recommendations were made during 374 medication reviews. Indications/contraindications of drugs were the most frequently discussed topics (59/316; 18.7 %), followed by dose reductions (37/316; 11.7 %), and temporary or permanent discontinuation of medications (36/316; 11.4 %). The most frequent recommendations for dose reduction involvedbenzodiazepines (9/37; 24.3 %). An unclear or absent indication was the most common reason for recommending temporary or permanent discontinuation of the medication (6/36; 16.7 %). Conclusion Interdisciplinary clinical pharmacologist-led medication reviews represented a valuable contribution to medication management in psychiatric patients, particularly the elderly ones.
    Type of Medium: Online Resource
    ISSN: 0091-2174 , 1541-3527
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2024
    detail.hit.zdb_id: 2071478-6
    SSG: 5,2
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  • 2
    Online Resource
    Online Resource
    SAGE Publications ; 2023
    In:  Personality and Social Psychology Bulletin
    In: Personality and Social Psychology Bulletin, SAGE Publications
    Abstract: Greed, the insatiable and excessive desire and striving for more even at the expense of others, may be directed toward various goods. In this article, we propose that greed may be conceptualized as a domain-specific construct. Based on a literature review and an expert survey, we identified 10 domains of greed which we operationalized with the DOmain-SPEcific Greed (DOSPEG) questionnaire. In Study 1 ( N = 725), we found support for the proposed structure and convergent validity with related constructs. Bifactor-(S-1) models revealed that generic greed is differentially related to the greed domains, indicating that generic greed primarily captures a striving for money and material things. In the second study ( N = 591), we found that greed domains had incremental validity beyond generic greed with regard to corresponding criteria assessed via self- and other-reports. We conclude that greed can be conceptualized as a domain-specific construct and propose an onion model reflecting this structure.
    Type of Medium: Online Resource
    ISSN: 0146-1672 , 1552-7433
    RVK:
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2047603-6
    SSG: 5,2
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  • 3
    In: Journal of Geriatric Psychiatry and Neurology, SAGE Publications, Vol. 36, No. 5 ( 2023-09), p. 407-416
    Abstract: Geriatric patients account for a significant proportion of the collective treated by psychiatric consultation service in hospitals. In the Emergency Department (ED), psychotropic drugs are frequently recommended, notwithstanding their extensive side-effect profiles. This study sought to investigate medication safety of geriatric patients referred to psychiatric consultation service in the ED. Methods Medication lists of 60 patients from the general internal medicine and trauma surgery EDs referred to psychiatric consultation service were analyzed. Utilizing PRISCUS list and Fit fOR The Aged (FORTA) classification, prescriptions of potentially inappropriate medications (PIMs) were assessed. Results 84 drugs were newly prescribed following psychiatric consultations. The total number of drugs per patient was 5.4 ± 4.2 before psychiatric consultation and 6.5 ± 4.2 thereafter ( p 〈 .001). 22.6 % of the newly recommended drugs were PIMs according to the PRISCUS list, while 54.8 % were designated as therapeutic alternatives to PIMs. 54.8 % and 20.2 % of the newly recommended drugs were FORTA category C and D drugs, respectively. An average of 1.2 ± 1.7 drug–drug interactions (DDIs) existed before psychiatric consultation and 1.3 ± 1.9 DDIs thereafter ( p = .08). Conclusion The majority of newly recommended drugs by psychiatric consultation service in the ED were designated as suitable therapeutic alternatives to PIMs according to the PRISCUS list, but had comparatively unfavorable ratings according to the FORTA classification, demonstrating discrepancies between these two PIM classification systems. Physicians delivering psychiatric consultation services in the ED should not solely rely on one PIM classification system.
    Type of Medium: Online Resource
    ISSN: 0891-9887 , 1552-5708
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2094096-8
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  • 4
    Online Resource
    Online Resource
    SAGE Publications ; 1998
    In:  Human & Experimental Toxicology Vol. 17, No. 12 ( 1998-12), p. 661-667
    In: Human & Experimental Toxicology, SAGE Publications, Vol. 17, No. 12 ( 1998-12), p. 661-667
    Abstract: Inhalation of zinc fumes may lead to the acute respiratory distress syndrome. The mechanisms of pulmonary zinc toxicity are not yet understood. Therefore we investigated zinc-dependent depression of protein and RNA synthesis in rat and human lung cell lines. 1 After exposure to 120 or 150 mmol/l zinc, RNA synthesis as assessed by uridine incorporation decreased by 60-70% between 0 and 2 h exposition in rat alveolar type II cells (L2 cells) and human fibroblast-like cells (11Lu and 16Lu cells), and by 90% between 0 and 4 h in carcinoma-derived cells (A549 cells). 2 After 2 h exposure, L2, 11Lu, and 16Lu cells were half-maximally inhibited by 50 mmol/l zinc, whereas A549 cells were more resistant with half-maximal inhibition at 100 mmol/zinc. 3 Protein and RNA synthesis was inhibited in parallel in L2, 11Lu, and A549 cells as indicated by simultaneous determination of uridine and amino acid incorporation. In 16Lu cells, the decline in protein synthesis preceded RNA synthesis inhibition. Pretreatment with RNA synthesis inhibitors (amanitin or actinomycin D) had no effect on time curve and intensity of RNA synthesis inhibition. Taken together, our results indicate that the suppression of RNA and protein synthesis likely are independent phenomena, due to direct zinc effects on these biosynthetic pathways.
    Type of Medium: Online Resource
    ISSN: 0960-3271 , 1477-0903
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1998
    detail.hit.zdb_id: 1483723-7
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  • 5
    Online Resource
    Online Resource
    SAGE Publications ; 2005
    In:  Toxicology and Industrial Health Vol. 21, No. 3-4 ( 2005-04), p. 131-136
    In: Toxicology and Industrial Health, SAGE Publications, Vol. 21, No. 3-4 ( 2005-04), p. 131-136
    Abstract: Organotin as monobutyltin (MBT), dibutyltin (DBT) and tributyltin (TBT) compounds are used as fungicides and anti-fouling compounds; small amounts are added to the new European Euro bills. Little is known about the toxicological profile of these compounds uptake and metabolism. We, therefore, studied the cytotoxicity of these agents in different cell lines, i.e., liver HepG2, renal LLCMK2 and ocular CEC cells. As a measure of cell growth and death, the neutral red assay and the release of LDH into the medium were used. IC 50 values for growth inhibition by TBT were calculated as 160 nM in LLC-MK2, 150 nM in HepG2 and 180 nM in CEC cells; for DBT the corresponding values were higher, i.e., 500 nM DBT for LLC-MK2 cells, 300 nM for HepG2 cells and 220 nM for CE cells. ED 50 values for LDH release indicating disturbances of the outer cell membrane was 〉 250 nM for TBT and 〉 350 nM for DBT in all cells. MBT was not toxic in concentrations up to 500 nM. Electron microscopic studies of cells treated with 300 nM tributyltin indicated severe mitochondrial damage with much less effect seen in other cell structures. We conclude that no differences exist between different cell lines that may serve as examples of tissues relevant for organotin exposure (eye), metabolism (liver) and specific metalloid damage (kidney). Growth inhibition was affected at organotin concentrations between 150 and 500 nM. This concentration is approximately 70-200 fold higher than values estimated in environmental samples.
    Type of Medium: Online Resource
    ISSN: 0748-2337 , 1477-0393
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2005
    detail.hit.zdb_id: 2010891-6
    SSG: 12
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