Category Archives: Mental Health

Elderly Mental Health.

Dementia-Friendly Communities Provision, Viewed as a Social Determinant of Health (JGCR / NHS England / WHO)

Posted on September 20, 2020 by Dementia and Elderly Care News

Summary Researchers in Japan reconsider the importance of age-friendly and dementia-friendly communities in providing certain dimensions of social engagement, inclusion and pro-social / altruistic activity; which are likely to support holistic, low-cost, approaches to healthy ageing, possibly even (cautiously applied) … Continue reading →

Posted in Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, UK, Universal Interest, World Health Organization (WHO) | Tagged Active and Healthy Ageing, Ageing Population, Aiesha Turner: Locality Link Officer at Integrated Plus (Dudley and Netherton), Altruism, Carer Inclusion, Center for Development of Advanced Medicine for Dementia:: National Center for Geriatrics and Gerontology (Japan), Co-Benefits, Collaborative Working, Collaborative Working in Local Communities, Community and Voluntary Sector, Community Volunteering, Dementia-Friendly Communities, Dementia-Friendly Communities: Extension of Healthy Life Expectancy, Dementia-Friendly Environments, Dementia-Friendly Neighbourhoods, Dementia-Friendly Organisations, Dementia-Friendly Resources, Dudley, Dudley Council for Voluntary Service (DCVS), Economic Sustainability, Facilitating the Ability to Contribute in Later Life, Health Counsellor System (Japan), Healthy Ageing, Healthy Ageing 2020 International Conference [Online] (GeriCaRe), India, Integrated Plus (Dudley and Netherton), International Comparisons, Japan, Journal of Geriatric Care and Research (JGCR), Low-Cost and No-Cost Sustainability, Meaningful Activity, Meaningful Activity and Occupation, Meaningful Social Roles, National Center for Geriatrics and Gerontology (Japan), Older People Helping Children Read and Learn (Experience Corps), Ottawa Charter for Health Promotion (WHO), Pro-Social and Altruistic Activity, Reciprocal Social Relationships, Social Distancing, Social Engagement, Social Inclusion, Social Model of Dementia, Social Participation, Social Prescribing, Sustainability, Sustainable Health and Social Care, The Experience Corps: USA, Toho Gakuen Graduate School (Japan), Volunteerism, WHO Ottawa Charter, World Report on Ageing and Health: 2015 (WHO) | Leave a comment

International Perspectives on the Possible Impact of the COVID-19 Pandemic and Lockdown on Abuse of the Elderly (JGCR / American Journal of Geriatric Psychiatry / JAGS)

Posted on August 24, 2020 by Dementia and Elderly Care News

Summary A selection of recent articles presents a surprising consensus on the issues in question, across disparate international regions. First, an article written from the context of India: Full Text Link Reference Rina, K. Maiti, T. Panigrahi, M. Patro, B. … Continue reading →

Posted in Community Care, Depression, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), International, Management of Condition, Mental Health, Person-Centred Care, Quick Insights, Universal Interest | Tagged Abuse Intervention / Prevention Model (AIM), Abuse of Vulnerable Adults, Ageism, All India Institute of Medical Sciences (Bhubaneswar; India), American Journal of Geriatric Psychiatry, Black Country Healthcare NHS Foundation Trust (Wolverhampton; UK), Casual Ageism, Center for Health Equity Research and Promotion: VA Pittsburgh Healthcare System, Department of Community Medicine and Family Medicine, Department of Department of Community Medicine and Family Medicine: All India Institute of Medical Sciences (AIIMS), Department of Family Medicine: University of Southern California, Department of Medicine: University of Pittsburgh School of Medicine, Department of Psychiatry: All India Institute of Medical Sciences (AIIMS), Detecting Elder Abuse, Elder Abuse, Elder Abuse in Coronavirus Disease 2019 (COVID-19) Era, Emotional Abuse, Estimated Global Prevalence of Elder Abuse, Financial Abuse, IMS and SUM Hospital (Bhubaneswar; India), India, Institutional Abuse, International Comparisons, Journal of the American Geriatrics Society, Mental Illness Research Education and Clinical Center: VA Pittsburgh Healthcare System, Negative Impact of Ageist Attitudes, Patterns of Abuse and Harm, Psychological Abuse, Risk Reduction, School of Gerontology: University of Southern California, United States, University of Pittsburgh School of Medicine, University of Southern California, USA, VA Pittsburgh Healthcare System, Wolverhampton | Leave a comment

Updates Relating to the Lancet Commission on Dementia Prevention, Intervention, and Care (Lancet / Alzheimer’s Research and Therapy / Alzheimer’s and Dementia)

Posted on August 5, 2020 by Dementia and Elderly Care News

Summary The Lancet Commission on Dementia Prevention, Intervention, and Care has updated evidence on modifiable risk factors the prevention of dementia, and the “life-course model of dementia prevention”. There were nine modifiable risk factors for reducing the risk of dementia … Continue reading →

Posted in Commissioning, Depression, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, International, Management of Condition, Mental Health, Models of Dementia Care, National, Non-Pharmacological Treatments, Nutrition, Person-Centred Care, Pharmacological Treatments, Quick Insights, Statistics, Systematic Reviews, UK, Universal Interest | Tagged Ageing Population, Ageing Population Carer Support, Air Pollution, Air Pollution and Risk of Dementia, Alzheimer's and Dementia: The Journal of the Alzheimer's Association, Alzheimer's Research and Therapy, Alzheimer’s Therapeutic Research Institute: University of Southern California, Barriers to Support, Behavioural Risk Factors, Behavioural Risk Factors and Dementia, Blood Pressure, BMJ Publishing Group Ltd, Burden of Multimorbidity, Canada, Capital Medical University (Beijing China), Caring for Family Carers, China, Chinese University of Hong Kong, Chronic Traumatic Brain Injury, Cognitive Decline and Dementia: Risk Reduction, Cumulative Benefit of Reducing Risk Factors, CVDPREVENT: National Primary Care Audit, Daping Hospital, Delivery of Improved Practice by Increasing Knowledge and Informing Changes in Practice and Culture, Dementia and COVID-19, Dementia and Multimorbidity, Dementia and Sensory Loss, Dementia Policy, Dementia Post-Diagnostic Care and Support, Dementia Prevalence Projections: LMIC Countries, Dementia Prevalence Projections: LMIC Countries (Low and Middle Income Countries), Dementia Prevention, Dementia Research, Dementia Research Priorities, Dementia Risk Factors, Dementia Risk Prevention, Dementia Risk Reduction, Dementia Risk Reduction and Prevention, Department of Hygiene and Epidemiology: University of Ioannina Medical School, Diet and Dementia, Dietary Factors, Excessive Alcohol Consumption, Family Carers, Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER), France, Fudan University (Shanghai China), Geriatric Care and Research Organisation (GeriCaRe), Greece, Harvard Medical School, Head Injury, Healthy Ageing, Healthy Ageing 2020 International Conference [Online] (GeriCaRe), Healthy and Active Ageing: Life-Course Approach (WHO), Healthy Lifestyles, Hippocampal Sclerosis Associated with TDP-43 Proteinopathy, Holistic Post-Diagnostic Care, Hong Kong, Huashan Hospital (Shanghai China), Huazhong University of Science and Technology (Wuhan China), Hyperhomocysteinaemia, Increasing Knowledge of Risk and Protective Factors, Journal of Geriatric Care and Research (JGCR), Journal of Neurology, Journal of Neurology Neurosurgery and Psychiatry, Lancet, Lancet Commission on Dementia Prevention Intervention and Care, Lancet Commission on Dementia Prevention Intervention and Care (LCDPIC), Later Life, LCDPIC: Lancet Commission on Dementia Prevention Intervention and Care, Life-Course Approach to Healthy and Active Ageing, Life-Course Model of Dementia Prevention: Twelve Risk Factors, Life-Course Model of Dementia Prevention, Lifestyle Factors, Lifestyle Risk Factors, Lifestyle Weight Management, Limbic-Predominant Age-Related TDP-43 Encephalopathy (LATE), LMICs, Loneliness, Loneliness and Social Isolation, Loneliness Harms Health, Massachusetts General Hospital, Maximising Benefits to People Living With Dementia and Their Families of Seeking and Receiving a Diagnosis of Dementia, McGill Center for Studies in Aging: McGill University, McGill University, MCI: Mild Cognitive Impairment, Medical Research Council, Mediterranean Diet, Midlife Hypertension, Mild Cognitive Impairment (MCI), Modifiable Risk Factors, Mortality Risk Factors, Multidomain Lifestyle Intervention Trials for Dementia Risk Reduction and Prevention, National University of Singapore, Neurological Disorders, Neuroprotective Lifestyles, Neuropsychiatric Symptoms, Neuropsychiatric Symptoms in People With Dementia, Neuropsychiatric Symptoms of Alzheimer’s Disease, Obesity, Obesity Risk Factor, Overlapping Risk Factors, PAF Calculations, PAF for 12 Dementia Risk Factors, People With Dementia and Family Carers, Physical Activity and Health Benefits, Physical Activity Before Dementia, Physical Exercise, Physical Exercise Programmes, Physical Inactivity, Population Attributable Fraction (PAFs) of Dementia, Potentially Modifiable Socio-Environmental Risk Factors for Dementia, Preclinical Dementia and Associated Lifestyle Changes, Prevention, Prevention Agenda, Prevention Agenda Linking Dementia and Other Non-Communicable Diseases, Prevention Approaches, Prevention Better Than Cure, Prevention of Dementia, Prevention of Future Dementia Cases by Increasing Knowledge of Risk and Protective Factors, Prevention Programmes, Preventive Care, Primary Care Cardiovascular Society, Psychiatry of Late Life Social Care and Society: University of Manchester, Psychosocial and Lifestyle-Related Risk Factors, Psychosocial Protective and Risk Factors, Public Health, Public Health Interventions, Purpan University Hospital (Toulouse France), Qingdao Municipal Hospital, Qingdao University (China), Quality of Life for People Affected by Dementia by Preventing and Treating Negative Consequences of Dementia, Quality of Life for People Affected by Dementia by Promoting Functional Capabilities and Independence, Reducing the Incidence of Dementia, Risk and Protective Factors, Risk Factors, Risk Factors and Preventive Interventions for Cognitive Impairment, Risk Factors and Preventive Interventions for Dementia, Risk Reduction of Cognitive Decline and Dementia, School of Public Health: Tongji Medical College, Sedentary Lifestyles, Sensory Impairments, Shanghai Medical College, Singapore, Smoking Cessation, Social Activities, Social Epidemiology, Social Isolation, Supporting Healthy Lifestyles, Supporting People Affected by Dementia, Systematic Reviews and Meta-Analyses, T2DM, Tackling Inequality and Protecting People With Dementia, Third Military Medical University (Chongqing China), Tobacco, Tobacco Cessation, Tobacco Consumption, Traumatic Brain Injury, Traumatic Brain Injury and Subsequent Dementia, Twelve Risk Factor Life-Course Model of Dementia Prevention, Type 2 Diabetes, Type 2 Diabetes Mellitus (T2DM), Type 2 Diabetes: Prevention, Unhealthy Behaviours, Unhealthy Lifestyles, Unhealthy Living, United States, University Hospital of Montpellier, University of Cambridge, University of Ioannina Medical School, University of Manchester, University of Southern California, University of Toulouse III, USA, Weight Management, Wellcome Trust Behavioural and Clinical Neuroscience Institute: University of Cambridge, World-Wide FINGERS (WW-FINGERS), World-Wide FINGERS Network, Xuan Wu Hospital, Yong Loo Lin School of Medicine: National University of Singapore | Leave a comment

A Brief Review of How the COVID-19 Pandemic Relates to Elderly Care and Research (JGCR)

Posted on June 24, 2020 by Dementia and Elderly Care News

Summary A brief literature review examines publications relating to the elderly population arising from the COVID-19 pandemic. Themes, and possible areas for further research, are identified. Full Text Link Reference Tripathy, S. (2020). The COVID-19 pandemic and the elderly patient: … Continue reading →

Posted in Acute Hospitals, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, Local Interest, Management of Condition, Mental Health, Non-Pharmacological Treatments, Pharmacological Treatments, Quick Insights, UK, Universal Interest | Tagged 2019 Novel Coronavirus, Age Discrimination, Age Discrimination in COVID-19 Treatment Decision-Making, Ageism, All India Institute of Medical Sciences (AIIMS), All India Institute of Medical Sciences (Bhubaneswar; India), Association for Geriatric Palliative Medicine (FGPG), Clinical Features of COVID-19, Coronavirus, COVID-19 and Older Adults, COVID-19 and Older People, COVID-19 Epidemiology, COVID-19 Infection, COVID-19 Mortality Rates: International Variations, COVID-19: Impact on the Elderly and Their Carers, Decision Making, Department of Anesthesia and Critical Care: All India Institute of Medical Sciences (AIIMS), Department of Community Medicine: Nepalese Army Institute of Health Sciences (Bhandarkhal; Kathmandu), Department of Neuroanaesthesia: Walton Centre (Liverpool), Department of Psychiatry: King George's Medical University (Lucknow; India), Department of Psychiatry: King George’s Medical University (India), Dexamethasone, Discrimination / Stigma, Effects of COVID-19 on Elderly Health, Epidemiology and Statistics, Ethical Considerations, Ethical Dilemmas, Ethics, Example Impact of COVID-19 in Resource-Constrained Countries, Faith, India, King George’s Medical University (India), King George’s Medical University (Lucknow; Uttar Pradesh), Literature Reviews, Mortality Statistics: Age-Related Case Fatality Rates (CFRs), Nepal, Nepal Corona Crisis Management Centre (CCMC), Nepal’s Ministry of Health and Population (MOHP), Nepalese Army Institute of Health Sciences (Kathmandu; Nepal), Novel Coronavirus Infection, Palliation, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (PGIMS Rohtak: India), Prevention, Randomised Evaluation of COVid-19 thERapY (RECOVERY) Trial on Dexamethasone, Rehabilitation, Religion and Behaviour: the COVID-19 Context, Religious Congregation Versus Social Distancing, Repatriation of COVID-19 Infected Nepali Migrant Workers From India, Resource Allocation, SARS-CoV-2, Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2), Sharma Post Graduate Institute of Medical Sciences (Rohtak; India), SIAARTI; Italian Society of Anesthesia Analgesia and Intensive Care, Signs and Symptoms of COVID-19, Stigma, University of Birmingham, University of Birmingham Medical School, Walton Centre NHS Foundation Trust | Leave a comment

Some Speculated / Potential Benefits of COVID-19 (JGCR / BBC Radio 4’s Rethink / BGS)

Posted on June 19, 2020 by Dementia and Elderly Care News

Summary The following article, unusually and perhaps controversially, attempts an initial assessment of certain perceived potential beneficial effects of the COVID-19 pandemic. Full Text Link Reference Tripathy, S. Kar, SK. Roy, D. [et al]. (2020). Community perception of the environmental … Continue reading →

Timeless Good Advice? (Action for Happiness)

Posted on April 1, 2020 by Dementia and Elderly Care News

Summary The secret to happiness, for challenging times? Simple and evidence-based. “Action for Happiness helps people take action for a happier and kinder world”. Full Text Link Reference Meaningful May. [Online]: Action for Happiness, May 1st 2021. Aphorisms For Informal … Continue reading →

Interventions to Improve Resilience in People Living With Dementia (Frontiers in Medicine)

Posted on March 15, 2020 by Dementia and Elderly Care News

Summary A review of the literature has identified five types of interventions designed to support resilience (coping with adversity) in people with dementia, which comprise: Dementia Advisors. Peer Support Network Services. Visual Arts Enrichment Activities (VAEA). Memory Makers. Early-Stage and … Continue reading →

Posted in Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, Management of Condition, Mental Health, Models of Dementia Care, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Universal Interest | Tagged Arts and Mental Wellbeing, Arts Engagement, Arts Therapies, Centre for Economic and Social Research on Dementia: National University of Ireland, Community Activities, Community Involvement, Coping, Coping and Adjustment, Coping Mechanisms, Coping Strategies, Coping With Adversity in Dementia, Coping With Dementia, Coping with Memory Loss, Coping with Stigma, Creative Arts for Dementia, Cultural Arts Interventions, Dementia Adviser Services, Dementia Advisers, Dementia Advisers (DAs), Dementia Advisor, Dementia Advisor Services, Dementia Groups, Early-Stage and Beyond Community Activities (ESBCA), Empowerment of People With Dementia, Engagement, Frontiers in Medicine (Journal), Group Belonging, Group Programmes, Improving Resilience in People Living With Dementia, Increasing Personal and Social Resources, Increasing Self-Esteem and Self-Worth, Interventions for Social Isolation and Loneliness, Interventions to Improve Resilience in People Living With Dementia, Ireland, Literature Reviews, Loneliness and Social Isolation, Memory Makers, Mental Resilience, National University of Ireland, Overcoming Adversity in Dementia, Patient and Family Engagement, Peer Support Network (PSN) Services, Peer Support Networks, Personal Resilience, Positive Engagement, Psychological Coping Skills, Psychosocial Interventions to Support Resilience, Reciprocal Support, Reducing Adversity of Social Isolation, Reducing Adversity of Stigma, Reducing Social Isolation, Resilience, Resilience and Vulnerability, Resilience to Dementia Disability and Frailty, School of Nursing and Midwifery: National University of Ireland, Self-Esteem (Peer Support), Self-Worth, Social Networks, Stigma-Free Space, Support and Coping Mechanisms, Supportive Social Networks, Systematic Literature Reviews, Visual Arts Enrichment Activities (VAEA), Wellness and Resilience | Leave a comment

Elderly Depression and Dementia: Underlying Relationships? (Frontiers in Pharmacology)

Posted on March 10, 2020 by Dementia and Elderly Care News

Summary A systematic review examines the relationship(s) between depression and dementia in old age, exploring multiple possible explanations: Depressive symptoms may be a risk factor for dementia. Depressive symptoms may be a prodromal symptom of dementia. Depressive symptoms may be … Continue reading →

Posted in Depression, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, Management of Condition, Mental Health, Person-Centred Care, Quick Insights, Systematic Reviews, Universal Interest | Tagged Ageing Population, Anhedonia, Behavioural Risk Factors, Belgium, Center for Neurosciences (C4N): Vrije Universiteit Brussel, Conversion From Depressive Symptoms to Dementia in the Elderly, Conversion to Dementia From Prodromal Disease, Dementia and Depression, Dementia Risk Factors, Department of Biomedical Sciences: University of Antwerp, Department of Electrical Engineering: Eindhoven University of Technology, Department of Neurology: Universitair Ziekenhuis Brussel, Department of Psychiatry and Medical Psychology: Ghent University Hospital, Department of Psychiatry: Universitair Ziekenhuis Brussel, Depression and Dementia, Depression in Dementia: Risk Factors, Depressive Symptoms, Depressive Symptoms and Cognitive Decline, Depressive Symptoms in the Elderly, Depressive Syndrome, Eindhoven University of Technology, Epidemiology, Frontiers in Pharmacology, Ghent Experimental Psychiatry (GHEP) Lab: Ghent University Hospital, Ghent University, Ghent University Hospital, Hypothetical Prodromes of Dementia, Increasing Depressive Symptoms Associated with a Higher Risk of Dementia, Increasing Depressive Symptoms: Statistical Prodrome of Dementia, Institute Born-Bunge: University of Antwerp, Lifestyle Risk Factors, Low Positive Affect, Melancholic Symptoms, Motivational Symptoms, Netherlands, Overlapping Risk Factors, Personality Traits (Risk Factors), Prodromal Dementia, Psychosocial Protective and Risk Factors, Risk Factors, Risk Factors for Depression, Risk Factors for Late-Life Depression, Risk Factors of Depression and Dementia in Elderly, Systematic Reviews and Meta-Analyses, Trajectories of Depressive Symptoms and Risk of Dementia, Universitair Ziekenhuis Brussel, University of Antwerp, Vegetative Symptoms, Vrije Universiteit Brussel | Leave a comment

Cerebral Amyloid Angiopathy (JGCR)

Posted on March 5, 2020 by Dementia and Elderly Care News

Summary Cerebral Amyloid Angiopathy (CAA) is characterised mainly by impaired perceptual speed, episodic memory, semantic memory, attention and executive function. It has much in common with global cognitive impairment, and diagnosis may overlap with that for Alzheimer’s Disease or other … Continue reading →

Posted in Depression, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, Mental Health, Quick Insights, Universal Interest | Tagged Ageing Population, Amyloid, Amyloid Beta Protein, Amyloid Proteins, Amyloid-β (Aβ), Amyloid-β Protein, Boston Radiological Criteria for Probable CAA, Cerebral Amyloid Angiopathy, Cerebral Amyloid Angiopathy (CAA), Cerebral Amyloid Angiopathy (CAA): Clinical Manifestations, Cerebral Amyloid Angiopathy (CAA): Psychiatric Manifestations, Cerebral Amyloid Angiopathy (CAA): Psychopathology, Cerebral Amyloid Angiopathy: Neuropsychiatric Patterns, Cerebral Amyloid Angiopathy: Psychiatric Presentations in Old Age, Cognitive Impairment, Computed Tomography (CT) Scan, Dementia and Cognitive Impairment, Differential Diagnosis, Impulsivity, Journal of Geriatric Care and Research (JGCR), Magnetic Resonance Imaging (MRI) Scan, Neurodegenerative Diseases, Neurodegenerative Disorders, New Zealand, Waitemata District Health Board (Auckland) | Leave a comment

More Statistics on Dementia Care in Acute Hospitals (The Pharmaceutical Journal)

Posted on March 1, 2020 by Dementia and Elderly Care News

Summary Data, obtained from a Freedom of Information (FOI) request, indicates that 17% of acute trusts (there were 87 that did respond) offer the full range of non-pharmaceutical therapies suggested by NICE guidance, while less than 45% offer one or … Continue reading →

Posted in Acute Hospitals, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Acute Care, Acute Hospital Care, Alternatives to Antipsychotic Drugs, Alternatives to Antipsychotic Medication, Behavioral and Psychological Symptoms of Dementia (BPSD), Behavioural and Psychological Symptoms of Dementia (BPSD), Dementia Care in Acute General Hospitals, Dementia Care in Acute Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Dementia Care in the Acute Hospital, Dementia Friendly Acute Hospitals, Dementia in General Hospital Inpatients, Distressed Behaviour, FOI: Freedom of information, Managing Distress, Managing Psychological and Behavioural Distress in People with Dementia, Non-Pharmacological Management of Symptoms, Non-Pharmacological Treatments, Non-Pharmacological Treatments for BPSD, Pharmaceutical Journal, Psychological Symptoms of Dementia (BPSD), Psychotropic Drug Cessation, Reducing Agitation and Distress, Reducing Avoidable Harm, Reducing Inappropriate Polypharmacy, Reducing Inappropriate Use of Antipsychotics in Dementia, Statistics on Dementia Care in Acute Hospitals | Leave a comment

Category Archives: Mental Health

Elderly Depression and Dementia: Underlying Relationships? (Frontiers in Pharmacology)

Cerebral Amyloid Angiopathy (JGCR)

More Statistics on Dementia Care in Acute Hospitals (The Pharmaceutical Journal)

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