Herb Use Among Health Care Professionals Enrolled in an Online Curriculum on Herbs and Dietary Supplements

2006 ◽  
Vol 6 (2) ◽  
pp. 51-64 ◽  
Author(s):  
Paula Gardiner ◽  
Anna Legedza ◽  
Charles Woods ◽  
Russell S. Phillips ◽  
Kathi J. Kemper
2002 ◽  
Vol 77 (9) ◽  
pp. 882-889 ◽  
Author(s):  
Kathi J. Kemper ◽  
Andey Amata-Kynvi ◽  
Darshak Sanghavi ◽  
Julia S. Whelan ◽  
Lana Dvorkin ◽  
...  

2004 ◽  
Vol 9 (2) ◽  
pp. 110-116
Author(s):  
Roberta M. Tankanow ◽  
Kelly A. Dwyer ◽  
Darcie-Ann Streetman

OBJECTIVES Patients are assuming responsibility for their own health by self-medicating with dietary supplements, often without physician knowledge or oversight. The objectives of this study were to determine: 1) pediatric dietary supplement use by surveying parents of children who were hospitalized in a university institution; 2) if any health care professional inquired about supplement use at the time the child was hospitalized; 3) whether the use of a supplement was documented in the patient's medical record; and 4) parents' attitudes about dietary supplements. STUDY DESIGN Parents of 100 hospitalized pediatric patients (<18 years of age) were randomly selected to complete a survey about their child's use of dietary supplements prior to and during hospitalization. They were also asked if they intended to use these products after hospitalization. The purpose of the study was explained, informed consent was obtained, and parents were given ample time to complete the survey. RESULTS Fifty percent of parents reported giving their child a dietary supplement prior to hospitalization; 17% reported use of an herbal supplement. Only 24% of parents reported being asked about supplement use by a health care professional upon admission or during the hospital stay. The response to only five of these queries was documented in the child's medical record. CONCLUSIONS Increasing dietary supplement use mandates that all health care professionals elicit this information as part of the routine History and Physical Examination at the time a child is hospitalized. This information should also be documented in the patient's medical record. Likewise, parents should be encouraged to discuss the use of these products with their physician and pharmacist.


The current study aims to examine the problem of adulteration of herbal antidiabetic medicines with undeclared registered and banned pharmaceuticals. There is a growing trend where herbal medicines, dietary supplements and conventional foods are adulterated with hidden drugs and chemicals. These products are typically promoted for weight loss, lowering blood glucose, sexual enhancement and bodybuilding and are often represented as being “Natural.” Consumers should exercise caution before purchasing any product in the above categories. The FDA has taken the unprecedented step of warning diabetics not to purchase or use so-called “natural” diabetes treatments. In their most recent consumer bulletin, “Beware of Illegally Sold Diabetes Treatments,” the FDA asks diabetics to be on their guard when it comes to buying natural diabetic treatments online. Fraudulent diabetes products can be especially dangerous if we use them instead of proven treatments for diabetes. Without proper disease management, people with diabetes are at greater risk of developing serious complications. Undeclared ingredients can cause serious harm. If consumers and their health care professionals are unaware of the actual ingredients in the products they are taking, these products may interact in dangerous ways with other medications. Zayed Complex for Herbal Research & Traditional Medicine (ZCHRTM) lab. Department of Health (DOH) Abu Dhabi has identified an emerging trend where over-the-counter herbal products, frequently represented as dietary supplements, contain hidden active ingredients that could be harmful. Consumers may unknowingly take products laced with varying quantities of approved prescription drug ingredients, controlled substances, and untested and unstudied pharmaceutically active ingredients. ZCHRTM Research laboratory purchased diabetes samples from market as well as samples received from DOH, MOHAP and other government organizations, VIP’s and various other sources, revealed the presence of adulteration in many herbal medicinal products. These findings of ZCHRTM laboratory will help consumers, health care practitioners, and the public understands our action regarding diabetes products contaminated with various prescription drugs and chemicals. In continuation of our earlier studies, the main objective of the present study is to check pharmaceutical medicine adulteration of nonprescription and even prescription diabetes medicines in the laboratory using chromatographic and spectrometric techniques and to discuss its side effects in the best interest of consumers and public health safety (Chart -1). This paper also gives an overview of health-related risks after consuming such spurious products and challenges for future perspectives to control such type of malpractices [1-3].


Author(s):  
Lynda Katz Wilner ◽  
Marjorie Feinstein-Whittaker

Hospital reimbursements are linked to patient satisfaction surveys, which are directly related to interpersonal communication between provider and patient. In today’s health care environment, interactions are challenged by diversity — Limited English proficient (LEP) patients, medical interpreters, International Medical Graduate (IMG) physicians, nurses, and support staff. Accent modification training for health care professionals can improve patient satisfaction and reduce adverse events. Surveys were conducted with medical interpreters and trainers of medical interpreting programs to determine the existence and support for communication skills training, particularly accent modification, for interpreters and non-native English speaking medical professionals. Results of preliminary surveys suggest the need for these comprehensive services. 60.8% believed a heavy accent, poor diction, or a different dialect contributed to medical errors or miscommunication by a moderate to significant degree. Communication programs should also include cultural competency training to optimize patient care outcomes. Examples of strategies for training are included.


2011 ◽  
Vol 21 (2) ◽  
pp. 59-62
Author(s):  
Joseph Donaher ◽  
Christina Deery ◽  
Sarah Vogel

Healthcare professionals require a thorough understanding of stuttering since they frequently play an important role in the identification and differential diagnosis of stuttering for preschool children. This paper introduces The Preschool Stuttering Screen for Healthcare Professionals (PSSHP) which highlights risk factors identified in the literature as being associated with persistent stuttering. By integrating the results of the checklist with a child’s developmental profile, healthcare professionals can make better-informed, evidence-based decisions for their patients.


2008 ◽  
Vol 18 (2) ◽  
pp. 87-98 ◽  
Author(s):  
Vinciya Pandian ◽  
Thai Tran Nguyen ◽  
Marek Mirski ◽  
Nasir Islam Bhatti

Abstract The techniques of performing a tracheostomy has transformed over time. Percutaneous tracheostomy is gaining popularity over open tracheostomy given its advantages and as a result the number of bedside tracheostomies has increased necessitating the need for a Percutaneous Tracheostomy Program. The Percutaneous Tracheostomy Program at the Johns Hopkins Hospital is a comprehensive service that provides care to patients before, during, and after a tracheostomy with a multidisciplinary approach aimed at decreasing complications. Education is provided to patients, families, and health-care professionals who are involved in the management of a tracheostomy. Ongoing prospective data collection serves as a tool for Quality Assurance.


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