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EPP (Enterprise Publication Personal) or e-Pub is an XML-based eBook format published by Microsoft Press.. EPP is a web application and can be used in a web browser or on a mobile device using EPP Reader for the iPod, iPad, iPhone and some Android smart phones.Chronically nonadherent patients--a comparative study of different treatment modalities.
The incidence of adherence in chronic nonadherent patients is not known. The aim of this study was to estimate the frequency of nonadherence in chronic nonadherent patients from a general outpatient clinic population in comparison to a sample of seriously ill patients and to identify the causes of chronic nonadherence. In this controlled, prospective, open cohort study, patients who had visited the outpatient clinics of a general hospital for at least three months were asked to participate. Only patients who chronically failed to fill their prescriptions were included. A total of 96 patients were randomized: 45 nonadherents and 51 adherents. The adherence rate in the study group was 9.8% (95% CI: 6.3-14.5). The adherence rate was 0% in the severely ill group. The difference between the adherence rate in the study group and in the group of severely ill patients was statistically significant (z = 5.07, p < 0.001). The following were found to be causes of chronic nonadherence: 1) lack of knowledge (64%), 2) psychological problems and drug-related side effects (20%), 3) forgetfulness (16%), 4) loss of faith in the treatment (3%), 5) patients' belief that medication is unnecessary (3%), 6) illness-related reasons (1%), 7) malaise of some kind (1%), and 8) other reasons (1%). Although chronic nonadherence is not common in a general outpatient clinic population, 0b46394aab
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