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ABSTRACT Hydraulic habitat models based on the preferences of species for the hydraulic characteristics of their microhabitats are frequently used to evaluate the impact on the habitat of a change in river flow regime. Their application in a tropical insular environment is still limited as little is known about the hydraulic preferences of species. Hydraulic preference models have been developed for 15 taxa (diadromous shrimps and fishes) sampled in 52 rivers in the Caribbean (the French West Indies) and the Indian Ocean (the Reunion island). Five datasets were used and group 8353 samples collected by electrofishing during 320 surveys (reach × date) performed between 1999 and 2011. Generalized additive models were used to link variations of taxa density within surveys to the hydraulic characteristics of the microhabitat (velocity, depth and substrate). Hydraulic preferences within each region (Caribbean and Indian Ocean) are significant for most of the taxa and vary little between rivers and surveys. The hydraulic variables explain up to 18.1% (univariate models) and 30.0% (multivariate models) of the deviance of densities within survey. Of the taxa selected, Atya scabra, Macrobrachium heterochirus, Xiphocaris elongata and the Sicydiinae are the most demanding. Copyright © 2013 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Purpose: This study analyses the relationship between medication use and frailty by considering the quantity of medications prescribed (polypharmacy) and the quality of medication prescribing (according to French criteria for Potentially Inappropriate Medications-PIMs) in people aged 65 and over., Methods: This is a cross-sectional study based on the data from a nationally representative study about health and use of healthcare resources in France (ESPS 2012). The number of frailty criteria was assessed among exhaustion, unintentional weight loss, muscle weakness, impaired mobility, and low level of physical activity. Polypharmacy and PIMs were assessed from the data of reimbursement by the National Health Insurance over the whole year 2012. PIMs were defined according to the Laroche list plus additional criteria dealing with inappropriate prolonged use of medications. The analyses used Poisson regression models, with the number of frailty criteria as dependent variable., Results: The study population was composed of 1003 women and 887 men, of mean age 74.7 +/- 7.4 years. Polypharmacy (5 to 9 drugs) and excessive polypharmacy (≥10 drugs) were reported in 42.9 and 27.4% of the study population, respectively, while 46.7% of the study population received at least one PIM during the year 2012. Polypharmacy and PIMs were both associated with the number of frailty criteria in models adjusted for socio-demographic and health characteristics of the participants. The prescription of anticholinergic medications was the only PIM that remained significantly associated with the number of frailty criteria after adjustment for polypharmacy., Conclusions: Polypharmacy and use of anticholinergic medications are independently associated with frailty in old people.

Purpose: The quality of drug therapy is an important issue for nursing homes. This study aimed to assess the prevalence of polypharmacy and potentially inappropriate medications (PIMs) in a large sample of nursing home residents by using the data recorded during the preparation of pill dispensers., Methods: This is a cross-sectional study that included 451 nursing homes across France. Information about the medications received by the 30,702 residents (73.8% women) living in these nursing homes was extracted from the system that assists in the preparation of pill dispensers in pharmacies. The anonymized database included age, sex, and medications prescribed to residents, as well as nursing home characteristics (capacity, legal status). Factors associated with excessive polypharmacy (≥10 different drugs) and PIMs according to the Laroche list were studied using multilevel regression models., Results: The average number of drugs prescribed was 6.9 ± 3.3, and excessive polypharmacy concerned 21.1% of the residents (n = 6468). According to the Laroche list, 47.4% of residents (n = 14,547) received at least one PIM. Benzodiazepines (excessive doses, long-acting benzodiazepines, and combination of benzodiazepines) and anticholinergic medications (hydroxyzine, cyamemazine, alimemazine) accounted for a large part of PIMs. Individual characteristics (age, gender) influenced the risk of receiving PIMs whereas nursing home characteristics (capacity, legal status) influenced the risk of excessive polypharmacy., Conclusions: This study shows that polypharmacy and PIMs remain highly prevalent among nursing home residents. Main PIMs concerned psychotropic and anticholinergic medications.