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Puzzle #119: How many nuts did two families have before a food fight?
By Barry R. Clarke #119 Nutty neighbours Yummybuum/Shutterstock In Pecan Place, the Shells and the Kernels are staging their annual nut-throwing battle. The Shells have a number of Brazil nuts, while the Kernels have a different number of walnuts. Suddenly, the Shells throw a fifth of their Brazil nuts at the Kernels, while the Kernels return one-seventh of their walnuts. After the exchange, the total number of nuts of any kind that the Shells and Kernels possess is now in the ratio 3:5.
Polypharmacy and use of potentially inappropriate medications in long-term care facilities: does coordinated primary care make a difference?
Polypharmacy is both common and harmful for frail residents of long-term care facilities (LTCF). We aimed to study rates of polypharmacy and potentially inappropriate medications (PIMs) before and after the implementation of a new model of coordinated primary care in LTCF, ‘Care by Design (CBD)’. This was an observational before/after study in 10 LTCFs in Halifax, NS, Canada. Chart reviews were conducted for 529 LTCF residents for whom medication use was available.
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