To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Combination different antipsyhotics with ECT in treatment resistant schizophrenia has been reported. However, the result are controversial. Our study investigated the long-term effects of combination ECT with three different antipsyhotic (haloperidol, amisulpride, olanzapine) in treatment of resistant schizophrenia.
The aims of our study were to investigated the long-term effects of combination ECT with three different antipsyhotic in treatment in resistant schizophrenia.
Object and methods
The clinical study was a naturalistic, prospective, open labelled, active controlled study in adult outpatients of both genders suffering from treatment resistant schizophrenia, (Dg F20) with follow-up of 2 years. The patient received amisulpride n=16 in range 50-200 mg/ mean daily doses 75,42. Haloperidol n=19, range 10-15 mg/day, mean daily doses 14,20 – 24,00. And olanzapine n=21, 5-15mg daily, mean daily doses 7,43.ECT was applied (8.0sec, and 0.8 amp) (Thymatron system IV somatic) in nine applications, twice a week. Clinical efficacy, was estimated using the ICD-10, PANNS and CGI psychometric scales.
According to the result, the most effective treatment was combinatin with olananzapine plus ECT, than haloperidol plus ECT, while amisulprid plus ECT had lower clinical efficacy. Olanzapine plus ECT, was significantly superior in all scale scores vs amisulpiride plus ECT, as well as haloperidol plus ECT except for PANSS-P (t=1,85, p>0,05). During the study, 38 of 70 patients were withdrawn due to treatment failure (n=21), side effects (n=6)and non compliance (n=11).
Our steady show that the combination of different antipsycotic and ECT, is more effective in treatment of resistant schizophrenia.
To gain insight into facilitators and barriers for the integration of community dementia care.
Qualitative focus group discussions and semistructured interviews.
Community care in a period in which the National Dementia Program stimulated integration of dementia care; at the same time, a new law stimulated market mechanism in care.
Professionals involved in the development of five dementia networks.
We conducted three focus group interviews and three face-to-face interviews with 17 professionals from various disciplines involved in the National Dementia Program. the data were analyzed using the grounded theory approach.
Analysis revealed facilitators and barriers affecting integration of dementia care. the facilitators were the intrinsic motivation to collaborate on improving dementia care, client-centeredness of the improvement projects, positive team climate, sufficient financial support and embedding of the improvement projects, and the well-structured, uniform format of the National Dementia Programme. At the individual level, the main barriers were demotivation, sub-optimal professional participation, insufficient funding of improvement projects, and market mechanisms and competition.
We hypothesize that societal trends strongly influence the level of inter-organisational collaboration and individual commitment, thereby modulating the effectiveness of integrative efforts in dementia care.
Email your librarian or administrator to recommend adding this to your organisation's collection.