Composition and cost of drugs stored at home by elderly patients.

BACKGROUND: Elderly people often have multiple chronic diseases, are frequently treated by several physicians, and also use over-the-counter medications. Excessive prescribing, imperfect therapeutic adherence, treatment modifications after hospitalization, and oversized drug packages result in home storage of leftover drugs, resulting in a waste of healthcare resources. PATIENTS AND METHODS: All patients aged >/=75 years hospitalized for >24 hours during a 6-month period in an urban teaching hospital in Switzerland were eligible for inclusion in a study collecting sociodemographics, medical, functional, and psychosocial characteristics. Six months later, a research nurse visited the patients at home and recorded the names, number of tablets, and expiration dates of all open or intact drug packages, and the doses actually taken. Acquisition costs of these drugs were computed. RESULTS: One hundred ninety-five patients were included (127 women; mean age 82.2 +/- 4.8 y, range 75-96). They had a total of 2059 drugs (mean per patient 10.3 +/- 6.7, range per patient 1-42), corresponding to a total cost of (US) $62 826 (mean per patient 322 +/- 275, range per patient 10-1571). Self-reported drug intake was regular for 36% of the drugs (46.5% of total costs) and occasional for 11% (6.1%), whereas 35.7% (30.1%) had been stopped during the last month. Cardiovascular drugs amounted to 36.6% of the drugs and 55.5% of the costs. None of the patients' characteristics was significantly associated with a greater number of drugs and higher costs. CONCLUSIONS: Drugs stored at home by elderly patients were worth about $320 per patient. Only about one-third of these drugs were regularly taken. In the context of resources shortage, innovative solutions should be found to reduce the waste linked with drugs stopped in previous months.

The list of the chromosome races of the common shrew Sorex araneus (updated 2002)

In 1996 the International Sorex araneus Cytogenetics Committee (ISACC) published a comprehensive list of 50 chromosome races of the common shrew Sorex araneus (lima et al. 1996). Since that time twenty one new races have been described and three races have been removed from the list. The present list summarises the data about races described since the 1996 publication. The rules introduced by Searle et al. (1991) and Hausser et al. (1994) were followed in the compilation of the list. It can be considered a reference for further studies of evolutionary relationships between the chromosome races of Sorex araneus. A summary table of all the 68 known races, arranged alphabetically according to their names, is given.

Iowa Criminal and Juvenile Justice Plan 2002 Update, 2002

This report discusses a number of topics and presents data and other information in response to Iowa Code Section 216A.135’s mandate for an annual Plan Update. It was prepared as an e-document and relies mainly on links to other documents which, when combined, make up the complete report. The outline that follows names the issues being presented this year by the CJJPAC and is both a table of contents and a “site-map” for the report.

Daughter of time: the postmodern midwife (Part 2)

Any effort to make sense of the complexities of contemporary midwifery must deal not only with biomedical and governmental power structures but also with the definitions such structures impose upon midwives and the ramifications of these definitions within and across national and cultural borders. The international definition of a midwife requires graduations from a government-recognized educational program. Those who have not are not considered midwives but are labeled traditional birth attendants. Since there are myriad local names for midwives in myriad languages, the impact of this naming at local levels can be hard to assess. But on the global scale, the ramifications of the distinction between midwives who meet the international definition and those who do not have been profound. Those who do are incorporated into the health care system. Those who do not remain outside of it, and suffer multiple forms of discrimination as a result.

La titulatura faraònica dels emperadors romans: un cas particular de la imitatio Alexandri

Estudi realitzat a partir d’una estada a la University of Oxford, Gran Bretanya, entre 2010 i 2012. Durant l’estada postdoctoral a la University of Oxford s’han efectuat dos estudis relacionats amb l’onomàstica dels faraons d’Egipte i que constitueixen una continuació de l’anàlisi de la titulatura d’Alexandre el Gran realitzada prèviament per l’investigador en la seva recerca doctoral. El primer estudi examina la titulatura faraònica dels emperadors romans en comparació amb la d’Alexandre i, en especial, la significació ideològica i política dels paral•lelismes onomàstics existents entre elles, els quals han estat analitzats en el marc de la imitatio-aemulatio-comparatio Alexandri. Per al cas d’August, s’ha arribat a la conclusió que l’adopció de determinats apel•latius egipcis utilitzats anteriorment per Alexandre pot ser interpretada com un exemple local o estrictament egipci d’imitatio Alexandri, mentre que, en relació amb la resta d’emperadors, atès que les seves titulatures faraòniques es basen o imiten la del primer emperador, aquestes represes han de ser vistes més aviat com un exemple d’imitatio (o comparatio) Augusti. El segon estudi versa sobre la titulatura faraònica egípcia i la tradició annalística. A partir d’una anàlisi comparativa dels protocols onomàstics dels fundadores de cadascuna de les dinasties, s’ha intentat determinar si determinats noms o epítets s’empren de forma recurrent i d’una manera deliberada per tal de senyalar canvis dinàstics, és a dir, noves realitats polítiques. En concret, s’ha pretès establir fins a quin punt determinats recursos onomàstics tenen el seu reflex en la divisió en dinasties de Manetó i, alhora, determinar en quina mesura l’estudi de l’onomàstica faraònica pot contribuir al coneixement de com els egipcis conceptualitzaren i organitzaren el seu propi passat.

'Dusky Sally': La femme esclave entre histoire et fiction

Au travers d'une étude parallèle de deux femmes esclaves - l'une figure historique, l'autre personnage de fiction - et de la façon dont elles ont été inscrites dans, et surtout hors du récit historique et littéraire américain, cet essai vise d'une part à interroger les biais et les limitations de l'historiographie traditionnelle américaine dans sa représentation de l'esclave, et d'autre part à évaluer le rôle de la littérature dans la critique et la « re-vision » du discours historique. Le roman de Gloria Naylor Mama Day (1988) offre ainsi un détour intéressant pour mettre en lumière les processus discursifs, épistémologiques et idéologiques qui ont permis et perpétué l'absence de femmes comme Sally Hemings, esclave et maîtresse supposée de Thomas Jefferson, dans l'Histoire américaine.Through a parallel discussion of two slave women - the first a historical figure, the second a fiction character - and of the way they have been inscribed in, and indeed out of, the historical and fictional narrative of America's past, this essay aims both to interrogate the biases and limitations of traditional American historiography in its representation of slaves and to evaluate the role of literature in the critique and "re-vision" of historical discourse. Gloria Naylor's novel Mama Day (1988) thus provides an interesting detour to cast light on the discursive, epistemological and ideological processes that have permitted and perpetuated the absence from American History of women like Sally Hemings, Thomas Jefferson's slave and supposed mistress.

Iowa Criminal and Juvenile Justice Plan 2006 Update

This report discusses a number of topics and presents data and other information in response to Iowa Code Section 216A.135’s mandate for an annual Plan Update. It was prepared as an edocument and relies mainly on links to other documents which, when combined, make up the complete report. The outline that follows names the issues being presented this year by the CJJPAC and is both a table of contents and a “site-map” for the report.

Eryphus Perty, 1832 e Tacyba, um novo gênero de Heteropsini (Coleoptera, Cerambycidae, Cerambycinae)

Eryphus Perty, 1832 and Tacyba, a new genus of Heteropsini (Coleoptera, Cerambycidae). Some species, up to now, included in Callideriphus Blanchard, 1851 are rearranged in: a) those congeneric with Callideriphus grossipes Blanchard, 1851 and b) not congeneric. The first set of species will be treated in a future paper; the second one, on the other hand, is subdivided into Eryphus Perty, 1832 and Tacyba gen. nov. Eryphus Perty, 1832 (type species: Eryphus bipunctatus Perty, 1832), a valid genus, is redescribed and a key for the species is also provided. The following species are transferred to Eryphus: E. bivittatus (Melzer, 1934) comb. nov., E. carinatus (Zajciw, 1970) comb. nov., E. flavicollis (Fisher, 1938) comb. nov., E. laetus (Blanchard, 1851) comb. nov., E. marginatus (Zajciw, 1970) comb. nov., E. picticollis (Gounelle, 1911) comb. nov., E. transversalis (Fairmaire & Germain, 1864) comb. nov. New synonym proposed: Eryphus bipunctatus Perty, 1832 = Callideriphus atricollis Melzer, 1931. New taxa described: Eryphus tacuarembo sp. nov. (Uruguay, Tacuarembó), E. carioca sp. nov. (Brazil, Rio de Janeiro); Tacyba gen. nov. (type species: Callideriphus maculatus Cerda, 1988). Species transferred to Tacyba and synonyms: T. maculata (Cerda, 1988) comb. nov., T. tenuis (Blanchard, 1851) comb. nov. = Callideriphus testaceicornis Fairmaire & Germain, 1859 syn. nov. = Callideriphus clathratus Fairmaire & Germain, 1860 syn. nov. = Callideriphus niger Philippi & Philippi, 1864 syn. nov. Callideriphus flavicollis m. quadripunctatus Fuchs, 1961 and Callideriphus flavicollis m. reductus Fuchs, 1961, both names of infrasubspecific category (not available under the rules of ICZN), are herein treated as intraspecific variation of Eryphus picticollis (Gounelle, 1911) which occur in southern Brazil and Argentina.

Quality assurance mechanisms in agrifood: The case of the Spanish fresh meat sector

The largest fresh meat brand names in Spain are analyzed here to studyhow quality is signaled in agribusiness and how the underlying quality-assurance organizations work. Results show, first, that organizationalform varies according to the specialization of the brand name.Publicly-controlled brand names are grounded on market contracting withindividual producers, providing stronger incentives. In contrast,private brands rely more on hierarchy, taking advantage of itssuperiority in solving specific coordination problems. Second, theseemingly redundant coexistence of several quality indicators for agiven product is explained in efficiency terms. Multiple brands areshown to be complementary, given their specialization in guaranteeingdifferent attributes of the product.

Value and prices in Russian economic thought (1890-1920)

The subject "Value and prices in Russian economic thought (1890--1920)" should evoke several names and debates in the reader's mind. For a long time, Western scholars have been aware that the Russian economists Tugan-Baranovsky and Bortkiewicz were active participants to the Marxian transformation problem, that the mathematical models of Dmitriev prefigured forthcoming neoricardian based models, and that many Russian economists were either supporting the Marxian labour theory of value or being revisionists. Moreover, these ideas were preparing the ground for Soviet planning. Russian scholars additionally knew that this period was the time of introduction of marginalism in Russia, and that, during this period, economists were active in thinking the relation of ethics with economic theory. All these issues are well covered in the existing literature. But there is a big gap that this dissertation intends to fill. The existing literature handles these pieces separately, although they are part of a single, more general, history. All these issues (the labour theory of value, marginalism, the Marxian transformation problem, planning, ethics, mathematical economics) were part of what this dissertation calls here "The Russian synthesis". The Russian synthesis (in the singular) designates here all the attempts at synthesis between classical political economy and marginalism, between labour theory of value and marginal utility, and between value and prices that occurred in Russian economic thought between 1890 and 1920, and that embraces the whole set of issues evoked above. This dissertation has the ambition of being the first comprehensive history of that Russian synthesis. In this, this contribution is unique. It has always surprised the author of the present dissertation that such a book has not yet been written. Several good reasons, both in terms of scarce availability of sources and of ideological restrictions, may accounted for a reasonable delay of several decades. But it is now urgent to remedy the situation before the protagonists of the Russian synthesis are definitely classified under the wrong labels in the pantheon of economic thought. To accomplish this task, it has seldom be sufficient to gather together the various existing studies on aspects of this story. It as been necessary to return to the primary sources in the Russian language. The most important part of the primary literature has never been translated, and in the last years only some of them have been republished in Russian. Therefore, most translations from the Russian have been made by the author of the present dissertation. The secondary literature has been surveyed in the languages that are familiar (Russian, English and French) or almost familiar (German) to the present author, and which are hopefully the most pertinent to the present investigation. Besides, and in order to increase the acquaintance with the text, which was the objective of all this, some archival sources were used. The analysis consists of careful chronological studies of the authors' writings and their evolution in their historical and intellectual context. As a consequence, the dissertation brings new authors to the foreground - Shaposhnikov and Yurovsky - who were traditionally confined to the substitutes' bench, because they only superficially touched the domains quoted above. In the Russian synthesis however, they played an important part of the story. As a side effect, some authors that used to play in the foreground - Dmitriev and Bortkiewicz - are relegated to the background, but are not forgotten. Besides, the dissertation refreshes the views on authors already known, such as Ziber and, especially, Tugan-Baranovsky. The ultimate objective of this dissertation is to change the opinion that one could have on "value and prices in Russian economic thought", by setting the Russian synthesis at the centre of the debates.

Homonymies in Callichromatini (Coleoptera, Cerambycidae)

New names proposed: Beaveriella nom. nov. for Beaveria Lane, 1970, pre-occupied by Beaveria Lee, 1965 (Trematoda, Troglotrematidae); Monnechroma nom. nov. for Xenochroma Schmidt, 1924, pre-occupied by Xenochroma Warren, 1902 (Lepidoptera, Geometridae). Consequently, the following new combinations are made: Beaveriella nacta (Lane, 1970) comb. nov., B. sagda (Monné & Martins, 1972) comb. nov., Monnechroma azurea (Demets, 1976) comb. nov., M. seabrai (Fragoso & Monné, 1989) comb. nov., M. subpulvereum (Schimidt, 1924) comb. nov., M. tibialis (Giesbert, 1987) comb. nov., and M. uniforme (Gounelle, 1911) comb. nov..

New enigmatic Andean bee species of Protandrena (Hymenoptera, Andrenidae, Panurginae)

Panurgine bees are diverse and abundant in temperate areas of the Americas but poorly represented to nearly absent in the tropics. We describe and illustrate five distinctive new species of the genus Protandrena that occur at high altitudes (2000-3400 m) in the Andes, from Venezuela to Ecuador. The species are also described to make the names available in forthcoming papers on their biology. These Andean species resemble some members of the subgenus Heterosarus but differ from it, as well as from any other subgenera of Protandrena, primarily in characters of the male genitalia and hidden sterna. The South American Protandrena s. l. are morphologically highly diverse and a complete study of the group is needed before supraspecific names are proposed for unusual species. Thus, to avoid further nomenclatural changes, we decided not to place these species in a new subgenus or any of the available subgenera. We also provide notes on the biology for some of the species.

Catalogue of type specimens of invertebrates in the collection of the Instituto Nacional de Pesquisas da Amazônia, Manaus, Brazil. II. Hexapoda: Collembola, Diplura, Archaeognatha, Ephemeroptera and Blattaria

A catalogue of type specimens of Collembola, Diplura, Archaeognatha, Ephemeroptera, and Blattaria deposited in the Invertebrate Collection of the Instituto Nacional de Pesquisas da Amazônia (INPA), Manaus, Brazil, is presented and updated to June, 2007. It contains a total of 22 holotypes and 18 lots of paratypes of 22 species of Collembola; one holotype and one paratype of one species of Diplura; four holotypes and four paratypes of four species of Archaeognatha; 10 holotypes and thirteen lots of paratypes of 11 species of Ephemeroptera; and one holotype and two lots of paratypes of one species of Blattaria. Specific names are listed alphabetically within family, followed by bibliographical citation, original genus name, status of type, collection number and locality data.

Catalogue of type specimens of the Collection of Invertebrates of Instituto Nacional de Pesquisas da Amazônia, Manaus, Brazil. III. Hexapoda: Isoptera, Mantodea, Mecoptera, Orthoptera, Plecoptera, Trichoptera and Zoraptera

A catalogue of the type specimens of Isoptera, Mantodea, Mecoptera, Orthoptera, Plecoptera, Trichoptera, and Zoraptera deposited in the Invertebrate Collection of the Instituto Nacional de Pesquisas da Amazônia (INPA), Manaus, Brazil, is presented and updated to December, 2007. A total of eight holotypes and seven lots of paratypes of nine species of Isoptera; three holotypes and one paratype of three species of Mantodea; five holotypes and five lots of paratypes of five species of Mecoptera; eight holotypes and five lots of paratypes of eleven species of Orthoptera; three holotypes, three neotypes and two lots of paratypes of seven species of Plecoptera; six holotypes and seven lots of paratypes of ten species of Trichoptera; and two holotypes and three lots of paratypes of three species of Zoraptera, are listed. Specific names are listed alphabetically within the family, followed by bibliographic citation, original genus name, status of type, collection number, locality data and remarks when appropriate.

A review of the New World Atteva Walker moths (Yponomeutidae, Attevinae)

The New World species of Atteva Walker are reviewed and illustrated in colour. One name: A. pustulella (Fabricius), nom. rev. and three species: A. aurea (Fitch), sp. rev., A. floridana (Neumoegen), sp. rev. and A. gemmata (Grote), sp. rev. are reinstated; five names are synonymised under A. aurea: Poeciloptera compta Clemens, syn. n., A. edithella Busck, syn. n., A. exquisita Busck, syn. n., A. ergatica Walsingham, syn. n. and A. microsticta Walsingham, syn. n.; four new species are described: A. rawlinsi sp. n., from the Dominican Republic, A. sidereoides sp. n., from Jamaica, A. entermedia sp. n., from Antigua, and A. zebrina sp. n., from Brazil; lectotypes for A. floridana and A. glaucopidella (Guenée) (=fulviguttata) are also designated.