scholarly journals Knowledge, Use and Practices of Licensed Dietitians Related to Dietary Supplements in Lebanon

2021 ◽  
pp. 1-30
Author(s):  
Cyrille Nacouzi ◽  
Vanessa Tarazi ◽  
Lara Kabalane ◽  
Maya Hosry ◽  
Mira Hleyhel
Keyword(s):  
Dietary Supplements ◽  
Knowledge Score ◽  
Health Food ◽  
Knowledge Use ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Food Stores ◽  
Nutrient Supplements ◽  
Quality Of Patient Care ◽  
Source Of Information

Abstract Objective To evaluate Lebanese licensed dietitians’ (LDs) knowledge, prevalence of use and recommendation of dietary supplements (DS), and their associated factors. Design Cross-sectional survey. Setting Dietitians across Lebanon were contacted through the telephone and were asked to participate in the study. An online self-administered questionnaire was designed and sent to dietitians either by email or by WhatsApp, between March 4th and May 4th, 2020. Participants This study included 319 dietitians randomly selected from the dietitians’ list that was provided by Lebanese Ministry of Public Health. Results Around 75% of dietitians had a knowledge score above 50%. Overall, 73.7% of them have used DS and 46.1% have recommended them. Higher knowledge score was associated with less years of experience, using scientific articles as source of information on DS, and participating in research. Resorting to pharmacists was significantly associated with both nutrient supplements (NS) and herbal supplements’ (HS) use, whereas referring to health food stores was associated with HS use only. NS recommendation to patients was associated with personal NS use (OR=3.38, P<0.001), considering pharmacists as a source of information on DS (OR=2.29, P=0.01) and discussing DS with patients (OR=3.82, P=0.01). Having personally used HS (OR=12.23, P<0.001) and having discussed DS with patients (OR=8.51, P=0.01) increased the likelihood of recommending HS. Conclusions A proper DS education, the elaboration of national scientific guidelines and the implementation of concise laws regarding the regulations of DS would play a crucial role in supporting dietitians’ practices and improving the quality of patient care with respect to DS.

Herbal and Nonherbal Alternative Medicine Use in Northwest Ohio

2002 ◽  
Vol 36 (12) ◽  
pp. 1862-1869 ◽  
Author(s):  
Karen J Martin ◽  
Timothy R Jordan ◽  
Alisha D Vassar ◽  
Donald B White
Keyword(s):  
Alternative Medicine ◽  
Herbal Remedy ◽  
Healthcare Providers ◽  
Grocery Store ◽  
Medicine Use ◽  
Health Food ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Food Stores ◽  
English Speaking

OBJECTIVE: To determine the prevalence and characteristics of herbal and nonherbal alternative medicine use among adults living in northwest Ohio. DESIGN: Cross-sectional survey. SETTING: Three grocery store intercepts in northwest Ohio. SUBJECTS: A consecutive sample of 326 English-speaking persons ≥18 years old. METHODS: A 26-item survey self-administered to participants over a 6-month period. OUTCOME MEASURES: Prevalence of herbal remedy use. RESULTS: Forty percent of respondents have used an herbal remedy during the last 12 months. The average number of herbs used was 2.3 per person. Herbal remedy use was not associated with specific sociodemographic variables. Desire to improve general health was the most common reason for use of an herbal remedy (16%). Herbal users cited “herbals are natural” as the most common benefit. Magazines (17%), health food stores (16%), and friends (14%) were the most common sources of herbal remedy information. Only 50% of the population informed their physician of such use. Forty-one percent used an herbal remedy sometimes to always to self-treat before seeking medical care from a physician. Fifteen percent of adults treated their children with herbs. Nearly all (86%) respondents believed the herb was helpful or very helpful. CONCLUSIONS: A significant number of the adults surveyed in the Toledo metropolitan area commonly used complementary and alternative medicine (CAM). There were no independent factors associated with herbal remedy use. It is important for healthcare providers to acknowledge this growing trend of CAM therapy use and begin to incorporate open discussion about CAM into the patient—provider relationship.

scholarly journals Hand Hygiene Knowledge, Perception, and Practices among Domestic Visitors to the Prophet’s Mosque in Al Madinah City Amid the COVID-19 Pandemic: A Cross-Sectional Study

2021 ◽  
Vol 18 (2) ◽  
pp. 673
Author(s):  
Hashim A. Mahdi ◽  
Hamza M. Assaggaf ◽  
Mohammad Alfelali ◽  
Omar B. Ahmed ◽  
Radi Alsafi ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Graduate Education ◽  
Formal Education ◽  
Demographic Data ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional

This study aimed to assess hand hygiene knowledge, perception, and practices of visitors to the Prophet’s Mosque in Al Madinah City, Saudi Arabia. Using a self-administered electronic questionnaire, a cross-sectional survey was conducted among domestic residents, who visited the mosque between 31 July and 3 August 2020. Participants’ demographic data, hand hygiene knowledge, perception, and practices were collected. Four hundred participants aged 18–65 (median 36) years completed the survey, of which 215 (53.8%) were female. The visitors’ mean knowledge score about hand hygiene was 6.4 (± standard deviation (SD) 1.35) of total 12. Most participants (392, 98%) were aware of the role of hand hygiene in preventing Coronavirus Disease 2019 (COVID-19); nevertheless, 384 (96%) said hand hygiene lowers body immunity and 316 (79%) thought <60% alcohol is sufficient for hand disinfection. Males had a higher knowledge score than females (6.46 (±1.41) vs. 6.14 (±1.27), p = 0.02) and, visitors who had no formal education scored higher than those with post-graduate education (6.88 (±1.45) vs 5.73 (±1.12), p = 0.01). Washing hands with soap and water was the predominant method practiced after a meal (365, 91.7%), after toilet visit (354, 88.5%), after touching a surface (262, 65.7%), after waste disposal (332, 83.2%), and when hands were visibly dirty (357, 89.5%). Al Madinah visitors had moderate knowledge about hand hygiene, but demonstrated some knowledge gaps and negligence in practice that are crucial to curb the spread of COVID-19.

scholarly journals Health Information Provided by Retail Health Food Outlets

2000 ◽  
Vol 14 (9) ◽  
pp. 767-771 ◽  
Author(s):  
Jaclyn Calder ◽  
Robert Issenman ◽  
Ruth Cawdron
Keyword(s):  
Information Sources ◽  
Nutritional Supplements ◽  
The Internet ◽  
Local Health ◽  
Research Assistant ◽  
Health Food ◽  
Herbal Supplements ◽  
Alternative Health ◽  
Food Stores ◽  
Source Of Information

Alternative health practices have become increasingly popular in recent years. Many patients visit specific complementary practitioners, while others attempt to educate themselves, trusting advice from employees at local health food stores or the Internet. Thirty-two retail health food stores were surveyed on the nature of the information provided by their staff. A research assistant visited the stores and presented as the mother of a child in whom Crohn’s disease had been diagnosed. Seventy-two per cent (23 of 32) of store employees offered advice, such as to take nutritional and herbal supplements. Of the 23 stores where recommendations were made, 15 (65%) based their recommendation on a source of information. Fourteen of the 15 stores using information sources used the same reference book. This had a significant impact on the recommendations; the use of nutritional supplements was favoured. In conclusion, retail health food stores are not as inconsistent as hypothesized, although there are many variances in the types of supplements recommended for the same chronic disease.

Ethics knowledge of recent paediatric residency graduates: the role of residency ethics curricula

2016 ◽  
Vol 42 (12) ◽  
pp. 809-814 ◽  
Author(s):  
Jennifer C Kesselheim ◽  
Julie Najita ◽  
Debra Morley ◽  
Elizabeth Bair ◽  
Steven Joffe
Keyword(s):  
Decision Making ◽  
Knowledge Score ◽  
Educational Interventions ◽  
Cross Sectional Survey ◽  
Passage Rate ◽  
Cross Sectional ◽  
Formal Curriculum ◽  
Incorrect Decision ◽  
Primary Specialty ◽  
Residency Programme

ObjectiveTo evaluate the relationship between recently trained paediatricians' ethics knowledge and exposure to a formal ethics or professionalism curriculum during residency.MethodsWe conducted a cross-sectional survey of recently trained paediatricians which included a validated 23-item instrument called the Test of Residents' Ethics Knowledge for Pediatrics. The sample included paediatricians who completed medical school in 2006–2008, whose primary specialty was paediatrics or a paediatric subspecialty, and who completed paediatric residency training in 2010–2011. This sample was stratified based on residency programme variables: presence of a formal curriculum in ethics or professionalism, programme size and American Board of Pediatrics certifying exam passage rate. Paediatricians were randomly selected from each stratum for survey participation.ResultsAmong the 370 responding paediatricians (55%), the mean knowledge score was 17.3 (SD 2.2) out of a possible 23. Presence of a formal curriculum in ethics and/or professionalism was not significantly associated with knowledge. Knowledge was lowest on items about parental requests for a child to undergo genetic testing (2 items, 44% and 85% incorrect), preserving patient confidentiality over email (55% incorrect), decision-making regarding life-sustaining technologies (61% incorrect), and decision-making principles such as assent and parental permission (2 items, 47% and 49% incorrect).ConclusionsThis study highlights several areas in which paediatricians' knowledge may be low and that are amenable to targeted educational interventions. These findings should prompt discussion and research among ethicists and educators about how ethics and professionalism curricula can more consistently influence paediatricians' knowledge.

scholarly journals Over-the-Counter Drugs and Complementary Medications Use among Children in Southern Italy

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Claudia Pileggi ◽  
Valentina Mascaro ◽  
Aida Bianco ◽  
Maria Pavia
Keyword(s):  
Positive Attitude ◽  
Southern Italy ◽  
Sole Source ◽  
Structured Interviews ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional ◽  
Over The Counter ◽  
Source Of Information

The use of nonprescription medicines (NPDs) for children illnesses without a doctor’s suggestion can lead to unnecessary medication use and is not free of risks. The aim of our study was to examine attitudes and practice of parents towards NPDs use for their children. We also investigated the conditions that may predict NPDs use. A cross-sectional survey was conducted on parents of children attending Community Based Pediatrician (CBP) consultation and data were collected through structured interviews. Positive attitude on NPDs use was reported by 71.4% of parents, and 61.5% of them had administered NPDs in the previous 6 months. Antipyretic drugs were the most frequently used medication class without the supervision of the CBP. A positive attitude towards NPDs was significantly more frequent in parents who did not use the CBP as the sole source of information about drugs. The study demonstrated a widespread use of NPDs in children in our context, supported by a substantial positive attitude towards their safety. However, considering potential harms related to some NPDs and the finding that most parents rely on CBP advice, role of CBP on appropriate use of NPDs by parents should be emphasized.

scholarly journals Assessment of Physician's Knowledge of Potential Drug-Drug Interactions: An Online Survey in China

2021 ◽  
Vol 8 ◽  
Author(s):  
Jing Yuan ◽  
Chunying Shen ◽  
Chengnan Wang ◽  
Gang Shen ◽  
Bing Han
Keyword(s):  
Drug Interactions ◽  
Online Survey ◽  
Mobile Apps ◽  
Least Square ◽  
Common Source ◽  
Potential Drug ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Source Of Information

Background: Drug interactions are the most common preventable cause of adverse drug reaction, which may result in drug toxicity or undesired therapeutic effect with harmful outcomes to patients. Given the rising use of combination therapies, the main objectives of this study were to estimate the degree to which physicians can identify potential drug-drug interactions (PDDIs) correctly and to describe the common source of information used by physicians when they need to check PDDIs.Methods: A cross-sectional survey utilizing a self-administered online questionnaire was conducted among physicians in China. Participants were asked to classify 20 drug pairs as “no interaction,” “may be used together with monitoring,” “contraindication,” and “not sure.” We also collected data on the physician's source of information and altitude toward the PDDIs. An ordinary least square regression model was performed to investigate the potential predictors of PDDI knowledge.Results: Eligible questionnaires were obtained from 618 physicians. The respondents classified correctly 6.7 out of 20 drug pairs, or 33.4% of the drug interactions investigated. The number of drug pairs recognized by respondents was ranged from 0 to 16. The percentage of physicians who recognized specific drug pairs ranged from 8.3% for no interactions between conjugated estrogens and raloxifene, to 64.0% for the interaction between dopamine and phenytoin. When the respondents want to check PDDI information, the most commonly used source of information was package inserts (n = 572, 92.6%), followed by the Internet or mobile Apps (n = 424, 68.6%), consultation with clinical pharmacists (n = 384, 62.1%), medical textbooks (n = 374, 60.5%), knowledge base in Chinese (n = 283, 45.8%), and other physicians (n = 366, 59.2%). In the multiple regression analysis, the significant predictors of a higher number of recognized drug pairs were years of practice and altitudes toward PDDIs.Conclusion: In this online survey accessing physician's ability to detect PDDIs, less than half of the drug pairs were recognized, indicating unsatisfactory level of knowledge about the clinically significant drug interactions. Continuing education and accessible electronic database can help physicians detecting PDDIs and improve drug safety.

scholarly journals Knowledge, perceptions and practices of pharmacists regarding generic substitution in China: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e051277
Author(s):  
Jinghan Qu ◽  
Wei Zuo ◽  
Shaohong Wang ◽  
Liping Du ◽  
Xin Liu ◽  
...  
Keyword(s):  
Generic Substitution ◽  
Generic Drugs ◽  
Community Pharmacists ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Affecting ◽  
True Value

ObjectiveTo evaluate pharmacists’ knowledge, perceptions and practices towards generic substitution in the 11 pilot locations in China.DesignAn online cross-sectional survey using questionnaires was conducted. A convenience sampling technique was implemented to recruit pharmacists.Setting and participantsThe study took place in medical institutions of 11 pilot locations that participated in the pilot national centralised procurement programme in 2019. Two thousand two hundred and ninety-one pharmacists including hospital pharmacists or community pharmacists based on health-systems or clinics participated in the study.ResultsMost of the participants had the good knowledge of requirements for evaluating the quality and efficacy of generic drugs (n=2118; 92.4%), and the definition of generic drugs (n=2078; 90.7%). In terms of perceptions, 67.3% of respondents were of the opinion that generic drugs are equally as effective as the brand-name drugs, and 69.0% of respondents were of the opinion that generic drugs are as safe as brand equivalents. A high percentage of participants supported the policy of generic substitution (n=1634; 71.4%). A significant positive correlation was demonstrated between total knowledge score and total perception score (ρ=0.267; p<0.001). Efficacy, safety and the direction of national policies and hospital regulations were the main factors affecting pharmacists’ willingness to dispense generic drugs.ConclusionsThe study identified gaps in respondents’ knowledge and perceptions of generic substitution. Pharmacists who are more knowledgeable in generic drugs tend to hold a more supportive attitude towards generic substitution. Although it appeared that pharmacists in China have largely accepted generic substitution, they still have concerns regarding the reliability and quality of generic drugs. The current issues need to be addressed for the realisation of the true value of generic drugs as part of the country’s healthcare cost-containment strategy as well as the implementation of generic substitution policy in China.

scholarly journals Public Perceptions and Attitudes of Bangladeshi Population towards Thalassemia Prevention: A Nationwide Study

2021 ◽  
Author(s):  
Nur-E- Alam ◽  
Md Shariful Islam ◽  
Umme Suriea ◽  
Ramisa Binti Mohiuddin ◽  
Md. Muzahidul Islam ◽  
...  
Keyword(s):  
Transmitted Disease ◽  
Knowledge Score ◽  
Health Concern ◽  
P Value ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Premarital Screening ◽  
Knowledge And Attitude ◽  
Bangladeshi Population

Abstract Background: Thalassemia is one of the most common life-threatening yet preventable congenital hemoglobin disorders especially in South Asian regions like Bangladesh. It has become a rising public health concern for Bangladesh as 6-12% of the population are carriers and many of them are unaware of it. The purpose of the study is to inspect the knowledge and attitude towards thalassemia among the general people of Bangladesh. Methods: A cross-sectional survey was conducted in eight administrative regions of Bangladesh between January and October of 2020. A self-administrative close-ended questionnaire was designed to collect information about thalassemia and socio-demographic characteristics. Pearson’s chi-square (χ2) test and One-way ANOVA were performed to assess the association between the demographic variables with knowledge and practice regarding thalassemia. A p-value <0.05 was considered significant.Results: Of the 1623 participants, only 44.7% (726/1623) had heard of thalassemia. The mean knowledge of thalassemia was scored 4.75 ± 2.05 out of a total possible score of 10. Half of the participants had no idea that thalassemia was not a transfusion transmitted disease. About 73.1% knew that blood tests are a diagnosis process to determine thalassemia. The urban residing participants had the highest (5.10 ± 1.99) and participants with primary education had the lowest (3.38 ± 1.37) mean score of knowledge. Participants' knowledge score varied significantly by marital status, living pace, literacy and occupation (p< 0.05). However, about 68.2% and 85.5% of the participants showed a positive attitude towards premarital screening of themselves or their family members and donating blood to thalassemia patients, respectively. Conclusion: The study shows that there is a need to disseminate the information on thalassemia since the knowledge gap is huge among people. These findings will assist the implementation of significant steps such as educational programs, health counseling, premarital screening, campaigning, etc. to increase the awareness of thalassemia.

scholarly journals Public awareness and acceptance of COVID-19 vaccine: An online cross-sectional survey, conducted in the first phase of vaccination drive in India

2021 ◽  
Author(s):  
Arumuganainar Suresh ◽  
Rocktotpal Konwarh ◽  
Anand Pratap Singh ◽  
Anand Krishna Tiwari
Keyword(s):  
Public Awareness ◽  
Clinical Trial Data ◽  
Knowledge Score ◽  
Vaccine Hesitancy ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Specific Complex ◽  
Context Specific ◽  
Knowledge And Acceptance

Abstract The context-specific, complex issue of ‘vaccine hesitancy’ is explicated in terms of delay or refusal of vaccination despite the availability of vaccine services. Although eleven million beneficiaries were administered the COVID-19 vaccine in India from 16th January 2021 till 20th February 2021, however, proportionately a low turnout has been registered in various parts of the country, possibly attributable to hesitance/apprehension towards the current vaccination. In this backdrop, we report the response (collected between Feb 1, 2021 and Feb 15, 2021) of 358 voluntary respondents who participated in an online questionnaire-based pan-India survey, executed to assess their knowledge and acceptance towards the current COVID-19 vaccination program in its first phase. The survey questionnaire consisted of demographic characteristics of the respondents and queries pertaining to knowledge (7 items) and acceptance (3 items). The overall correct rate and the average knowledge score of the participants were 78 % and 5.46 ± 1.4/7 respectively. The acceptance score was 3.50 ± 1.6/5 while 70 % of participants agreed against the 20 % of respondents who neither agreed nor disagreed to take the vaccine. Around 66 % believed that the vaccines, currently being administered in India are safe. Fear about possible side effects (44 %) and inadequacy of comprehensive clinical trial data (29 %), seemed to be the major players in fortifying the vaccine hesitancy among the respondents, exhibiting negative acceptance. Although maximum respondents demonstrated a good level of knowledge (82%) and acceptance (88%), significant differences were observed among some demographic variables. In general, a positive correlation was observed between knowledge and acceptance against a negative correlation, observed in specific provinces. Despite the good acceptance and knowledge, a considerable fraction of the participants (30%) expressed hesitancy. Counselling, mobilization, and feedback from vaccinated individuals about safety should be encouraged. However, due to the limited sample size, we must be cautious when generalizing these findings. Nevertheless, the major elucidations of this study may be utilized in planning vaccination campaigns in further phases.

scholarly journals Knowledge, Attitudes and Practices of Male Transgenders in Transmission of Human Immunodeficiency Virus in Lahore, Pakistan

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Akash John ◽  
Muhammad Saleem Rana ◽  
Asif Hanif ◽  
Tallat Anwar Faridi ◽  
Sofia Noor ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Progressive Failure ◽  
Knowledge Score ◽  
Control Programme ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Immunodeficiency Virus ◽  
The Mean ◽  
Knowledge Attitudes And Practices

Human immunodeficiency virus (HIV) is a subgroup of retrovirus causing HIV infection which if prolongs turns into a progressive failure of the immune system called as acquired immunodeficiency syndrome. It is commonly prevalent in Male Transgenders who are born male and disobeys the cultural defined social norms and identify themselves as a female. The objective was to assess knowledge, Attitudes and Practices of Transgender Community regarding Transmission of Human Immunodeficiency Virus in Lahore, Pakistan. A Descriptive Cross-sectional Survey was conducted in Nine Towns of Lahore. A sample size of 79 was calculated and data was collected in duration of 9 months. A self-administered survey-based questionnaire was developed using WHO and National AIDS control Programme guidelines followed and pilot tested. Data was collected after Informed consent.The mean age of Respondents was 29.56 ± 8.27 years with minimum and maximum age as 19 and 50. In this study the mean knowledge score of the transgender about HIV Transmission was 2.804±0.32, the mean score of attitudes of transgender were 3.25±0.19 and the mean practice score was 2.931±0.28.Majority of the transgender have insufficient knowledge, and bad attitude towards their health. They have unsafe sexual practice and Drug Interventions playing a significant role in HIV epidemic. Majority of them are uneducated, unemployed and found sex selling and dancing an easiest way of earning. Their knowledge about HIV screening, transmission, and antiretroviral therapy is low.

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