EP.TH.336Surgeons' Knowledge Of Characteristics of Mesh Used in Groin Hernia Repair- A Cross Sectional Survey

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Maitreyi Patel ◽  
Naveed Kirmani

Abstract Aims We aim to assess the surgeons’ awareness of mesh characteristics by way of an online survey. Methods A cross sectional survey of surgeons routinely performing groin hernia repairs was conducted across five NHS hospitals using an online questionnaire. Surgeon’s experience in groin hernia repair was taken in account. The data was analyzed using Microsoft Excel. Descriptive statistics was used. Results 37 surgeons responded to the survey.6 surgeons had more than 20 years of experience. 8 (21.62%) performed >50 hernia repairs annually. When compared with years of experience, knowledge of material was 100% with >10 years experience. Knowledge of tensile strength was 50% in those with > 20 years experience, while 83% of respondents with >20 years experience were aware of the weight and pore size of the mesh they used. In comparison with the number of groin hernia repairs done annually, all respondents performing >50 repairs knew the material they used. Amongst these respondents, knowledge of tensile strength, weight and pore size was 38%, 75% and 63% respectively. Conclusions Our study suggests that the level of knowledge regarding mesh is inadequate among surgeons, falling short of the minimum expected of surgeons performing groin hernia repair.

2021 ◽  
Vol 8 ◽  
Author(s):  
Jing Yuan ◽  
Chunying Shen ◽  
Chengnan Wang ◽  
Gang Shen ◽  
Bing Han

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.


2021 ◽  
Vol 14 (1) ◽  
pp. 169
Author(s):  
Fatma Lestari ◽  
Abdul Kadir ◽  
Muhammad Idham ◽  
Fahrul Azwar ◽  
Ganis Ramadhany ◽  
...  

People’s behaviors can affect the spread of the COVID-19 virus. Public behaviors, including proper personal hygiene and healthy life practices, the use of appropriate masks, and the application of good disinfectants, have an important role in human health and protection towards prevention and control of COVID-19 spread. This study aims to perform a survey of public behavior and best practices related to COVID-19 prevention and control among Indonesian communities. A cross-sectional study was designed to collect information using an online survey. Respondents were gathered from 34 provinces in Indonesia through the Indonesia National Safety and Health Council network and Universities network. Respondents voluntarily submitted their response to a predesigned online questionnaire. The collected data was then analyzed using SPSS 24.0. A total of 771 respondent subjects (male 386; female 385) were recruited. The results show that 96% of participants implement positive behavior of personal hygiene, including wearing a mask when going outside their house, and almost 67.3% of respondents sprayed a disinfectant in their house. The majority of participants hold a door handle (37.2%) and desk (28.1%) at a frequency of more than six times a day. There were 8.2% of participants implementing good personal hygiene, including hand-washing at least once a day and maximum of more than six times after going to the toilet. At-risk behaviors were conducted by respondents in which they touched part of their face at a frequency of once during an hour. It was identified that males are less likely to perform better hand hygiene as opposed to females. In conclusion, the study showed that positive behavior of personal hygiene related to COVID-19 has been implemented among Indonesian communities. This result suggests that positive behavior based on community-based prevention and control needs to be continually maintained in order to prevent and control COVID-19 spread.


2021 ◽  
Vol 15 (1) ◽  
pp. 82-85
Author(s):  
Nadia Saleem ◽  

Background: The lockdown strategy has been implemented globally to contain the spread of current pandemic of COVID-19. Educational institutes around the globe are facing challenges and online learning is being carried out to avoid face to face contact during lockdown. Students have to adapt entirely new methods of learning through information technology. Objective: To assess the satisfaction level of health science students with online learning and use of internet during Covid-19 lock down in Punjab. Study Design: Cross-sectional survey. Settings: The data was collected from different institutes of Punjab using an online survey. Duration: Three months from May 2020 to July 2020. Methodology: A convenient sample of sample (N) 357 undergraduate medical students were included based on the response submitted through online questionnaire. Volunteer undergraduate students of MBBS, BDS, DPT, and Pharm D were included. The level of satisfaction was measure using Online Learning/Distance Education Questionnaire. Data was evaluated by SPSS version 22. Frequency tables and percentages was used to measure categorical variables. Results: 41 were males and 316 Females with mean age of 20.5±8.5. 15.6% Most of them had taken more than 03 courses online on computer for educational purpose. More than half students responded that they were motivated to attend online lectures. 23.52 % thought that they can pass any course is on internet-based study. 27.45% considered online and in physical classes as same. The access of internet was not issue for 50.98% students and 37.53% think that course can be completed online. Conclusion: The students were satisfied from online education during this time of transition of conventional classes to online classes. More than half of them felt no issue of internet and 37% think that course can be completed in this mode of education.


2021 ◽  
Author(s):  
Fatma Lestari ◽  
Abdul Kadir ◽  
Muhammad Idham ◽  
Fahrul Azwar ◽  
Ganis Ramadhany ◽  
...  

Abstract Background: The trend of COVID-19 confirmed cases has continually risen in Indonesia, this pandemic situation has affected several life sectors, including health sectors, education, economic, services, and employment sectors. Public health and social measures as recommended by Word Health Organization are required to be implemented in order to prevent the coronavirus disease spread. People’s behaviours can also affect the spread of the COVID-19 virus. Public behaviours including proper personal hygiene and healthy life practices, the use of appropriate masks, and the application of good disinfectants have an important role in human’s health and protection towards prevention and control of COVID-19 spreads. This study aims to perform a survey of public behaviour and best practices related to COVID-19 prevention and control among Indonesian communities. Methods: A cross-sectional study was designed to collect information related to public behaviour related to COVID-19 prevention and control using an online survey. Respondents were gathered from 34 provinces in Indonesia through the Indonesia National Safety and Health Council network and Universities network. Respondents voluntarily submitted their response to a pre-designed online questionnaire. The collected data was then analyzed using SPSS 24.0. Results: A total of respondents 771 subjects (male 386; female 385) were submitted their response. The results show that 96% of participants implementing positive behaviour of personal hygiene including wearing a mask when going outside their house and almost 67.3% of respondents sprayed a disinfectant in their house. The majority of participants hold a door handle (37.2%) and desk (28.1%) at frequency of more than six times a day. There were 8.2% of participants implementing good personal hygiene including hand washing at least once a day and maximum of more than six times after going to the toilet. At risk behaviour were conducted by respondents at which they touched part of their face at frequency once during an hour. It has been identified that male are less likely to perform better hand hygiene as opposed to female. In conclusion, study showed that positive behaviour of personal hygiene related to COVID-19 has been implemented among Indonesian communities. This result suggested that positive behaviour based on community based prevention and control need to be continually maintain in order to prevent and control COVID-19 spreads.


2020 ◽  
Author(s):  
Harry Barton Essel ◽  
Akosua Tachie-Menson ◽  
Mavis Osei ◽  
Emmanuel Yeboah

Abstract Background: Ghana’s COVID-19 caseloads stretched to 32,437 with 161 deaths. After the first COVID-19 case recorded in March, the Government of Ghana imposed several restrictions on the life of citizenry to prevent the spread of the infection. However, it is imperative to assess and track the knowledge, misperceptions, attitudes and behaviour of Ghanaian on this public health emergency that is moving fast and not well understood before lives are restored to normalcy. This study investigated the knowledge, misperceptions, attitudes and behaviour of Ghanaians on the COVID-19 pandemic through a rapid online survey system.Methods: The Cochran sample size determination formula was used to estimate a representative sample of adult Ghanaian residents (n = 420) for the cross-sectional survey. An online questionnaire (eQuestionnaire) designed with Google Form was administered to the participants who consented to be part of this study. SMS and popular social media handles were used for the distribution of the eQuestionnaire URL to the participants. The survey commenced on July 5th 2020 through to July 15th,2020. Socio-demographic data of participants were gathered on age, gender, religion and level of education. Data collected were analysed using summary and inferential statistics. Results: A total of 475 adult Ghanaian participants completed the eQuestionnaire. Some Ghanaians believed that the COVID-19 pandemic is a myth (95% CI 25.6%-48.1%) and it does not have any effect on a Ghanaian (African) because of the hot temperate we experience. Majority of the participants (78.2%) thought that older adults were at high risk of death when disease-ridden with COVID-19 pandemic. The majority of the participants (81.5%) were poise that Ghana can successfully manage the COVID-19 pandemic. About 31.5% of the participants indicated they did not wear facial or nose masks when going out of their homes. The participants (81.9%, 389/475) approved that the government should ease the COVID-19 restrictions for life to return normalcy.Conclusion: Although Ghanaians have appreciable knowledge, positive attitude and appropriate behaviour in response to COVID-19 pandemic, a well-coordinated effort is needed to ensure stringent compliance with healthcare protocols toward the easing of COVID-19 restrictions in Ghana.


Crisis ◽  
2020 ◽  
Vol 41 (2) ◽  
pp. 82-88 ◽  
Author(s):  
Bob Lew ◽  
Ksenia Chistopolskaya ◽  
Yanzheng Liu ◽  
Mansor Abu Talib ◽  
Olga Mitina ◽  
...  

Abstract. Background: According to the strain theory of suicide, strains, resulting from conflicting and competing pressures in an individual's life, are hypothesized to precede suicide. But social support is an important factor that can mitigate strains and lessen their input in suicidal behavior. Aims: This study was designed to assess the moderating role of social support in the relation between strain and suicidality. Methods: A sample of 1,051 employees were recruited in Beijing, the capital of China, through an online survey. Moderation analysis was performed using SPSS PROCESS Macro. Social support was measured with the Multidimensional Scale of Perceived Social Support, and strains were assessed with the Psychological Strains Scale. Results: Psychological strains are a good predictor of suicidality, and social support, a basic need for each human being, moderates and decreases the effects of psychological strains on suicidality. Limitations: The cross-sectional survey limited the extent to which conclusions about causal relationships can be drawn. Furthermore, the results may not be generalized to the whole of China because of its diversity. Conclusion: Social support has a tendency to mitigate the effects of psychological strains on suicidality.


2020 ◽  
Vol 23 (2) ◽  
pp. 54-58
Author(s):  
ABM Mahbubur Rahman ◽  
Tamjeed Alam ◽  
AHM Shamsul Alam ◽  
Fahim Ferdaus ◽  
Gazi Gias Uddin

Background: Treatment of groin hernias continues to evolve. The emergence of laparoscopic inguinal hernia surgery has challenged the conventional gold standard Lichtenstein’s tension free mesh repair. Laparoscopic technique to achieve surgical correction over groin hernia is increasingly being practiced in our country, and it is imperative to test the overall outcome of this technique in a tertiary care setting. Objectives: Current study was aimed at evaluating the per-operative events, early and late outcomes of laparoscopic groin hernia repair techniques. End points of evaluation were postoperative pain, hospital stay, resumption of normal activities, chronic pain and recurrence. Methods: Within a 2-year period, 45 patients of groin hernias of different clinical types underwent laparoscopic inguinal hernia repair in Bangladesh Medical College Hospital were recruited in this prospective observational study. Preoperative findings, intraoperative course, postoperative and follow-up data were analyzed to evaluate the outcomes. Observations were made regarding operating time, operative hazards, postoperative pain, incidence of early post-operative morbidities, hospital stay, resumption of activities. Total 24 months follow-up was carried out with regards to normal activity, late complications notably chronic groin pain and recurrence. Results: The mean age of 38.1±11.1 years, 27(60%) patients underwent TEP repair whereas, TAPP procedure was carried out in 18 patients (40%). For unilateral hernia repair using TEP technique, mean operative time was 50.3±4.2 mints and 61.7±5.3 mints for direct and indirect variety (D/I), with the corresponding rates for TAPP repair being 65.0±2.2 mints and 72.8±3.2 mints (D/I) respectively. Conversion rate to other operative procedure was 6.67%. The overall surgery related early post-operative morbidity was 7.4% (TEP) and 16.8% (TAPP). 3 out of 45 patients (6.67%) experienced chronic pain in the groin in the study. However, there was no single incidence of recurrence observed during the follow up period. Conclusion: Laparoscopic groin hernia repair techniques are safe and feasible, offers the benefits of minimally invasive surgery and becoming the procedure of choice specially for bilateral and recurrent inguinal hernias. Journal of Surgical Sciences (2019) Vol. 23(2): 54-58


2011 ◽  
Vol 1 (12) ◽  
pp. 171-173
Author(s):  
Dr. P A Yavalkar Dr. P A Yavalkar ◽  
◽  
Dr. S E Jadhav Dr. S E Jadhav

Sign in / Sign up

Export Citation Format

Share Document