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Multilevel logistic regression analysis was conducted to assess the association between individual and regional sekentei and attitudes toward care services. Results:? A total of 2264 questionnaires were analyzed. Approximately 16% of respondents were willing to use formal care services. Multilevel analysis showed that lower individual sekentei was associated with the willingness to use formal care services among both men and women (odds ratio [OR]?=?0.96, 95% confidence interval [CI]?=?0.93�C0.99 in men; OR?=?0.96, 95% CI?=?0.92�C1.00 in women). Among men, the negative association between regional sekentei and the willingness to use formal care services was marginally significant (OR?=?0.69, http://www.selleckchem.com/products/BEZ235.html 95% CI?=?0.48�C1.01) as was the interaction between individual and regional sekentei levels. Conclusion:? These results indicate the importance of assessing not only the individual sekentei level but also the sekentei level in different regions to develop strategies for the allocation of care resources. Geriatr Gerontol Int 2011; 11: 166�C173. ""Aim:? This study assessed medication http://www.selleck.cn/products/gsk-j4-hcl.html use patterns and polypharmacy in patients who were admitted through an acute assessment unit (AAU) and stratified results according to patient age. This study also examined risk factors associated with polypharmacy and consequences of polypharmacy, namely prescription writing errors, drug�Cdrug interaction and geriatric syndrome. Methods:? The medication charts and admission notes of 200 consecutive patients admitted through the AAU over a period of 1 month were retrospectively reviewed. Data were collected on patients' demographics, comorbidities, types and number of medications, hospital length of stay and reason(s) for presentation. Potentially harmful prescription errors or errors necessitating intervention were also recorded, as were any potential adverse drug�Cdrug interactions. Results:? Medications for the treatment of disorders of the cardiovascular (46% of total patients) and nervous systems (30%) predominated. http://www.selleckchem.com/products/byl719.html Of the 200 patients reviewed, 158 were aged ��65?years and their mean serum creatinine was higher than those aged 100??mol/L for women and >120??mol/L for men. The presence of more than two comorbidities (odds ratio (OR) 6.80; 95% confidence interval (CI) 2.89�C16.00; P?