scholarly journals Smoking behaviour predicts tobacco control attitudes in a high smoking prevalence hospital: A cross-sectional study in a Portuguese teaching hospital prior to the national smoking ban

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Sofia B Ravara ◽  
Jose M Calheiros ◽  
Pedro Aguiar ◽  
Luis Taborda Barata
2014 ◽  
Vol 71 (5) ◽  
pp. 481-490
Author(s):  
Srmena Krstev ◽  
Jelena Marinkovic ◽  
Snezana Simic ◽  
Ana Jovicevic ◽  
Ljiljana Markovic-Denic

Background/Aim. Bearing in mind a high smoking prevalence in Serbia (34% in adult population; men 38%, women 30%) and leading role of health professionals in intervention and prevention, a cross-sectional study was performed smong the representative sample of health professionals in Serbia. The aim of the study was to identify predictors of smoking and smoking cessation prior to the total smoking ban in November 2010. Methods. In this nationwide study, 3,084 physicians and nurses from 4 types of institutions and four geographical regions were selected and 2,282 included (response rate 74.0%). Data were collected using a self-administered structured questionnaire. Standard statistical methods were used to calculate prevalence rates, and multivariate logistic regressions to evaluate independent predictors of smoking pattern. Risks were expressed as odds ratios (OR) which represent approximation of relative risks of exposed persons with 95% confidence intervals (95% CI). Results. We found a high smoking prevalence of 38.0%, the same for women and men (37.8% and 37.6%, respectively; p = 0.138), higher among nurses (41.7%) than physicians (29.1%) (p = 0.000), as well as among those employed in general hospitals (42.6%) and institutes of public health (43.8%) (p = 0.000). Significantly increased risk of being an ever or current smoker was noticed for nurses (OR = 1.75, 95% CI 1.42-2.14; and OR = 1.91, 95% CI 1.52-2.40, respectively), those employed in general hospitals (OR = 1.37, 95% CI 1.09-1.73 and OR = 1.40, 95% CI 1.09-1.79, respectively), and with worse self-estimated health (OR = 1.15, 95% CI 1.02-1.30; and OR = 1.17, 95% CI 1.02-1.34, respectively). Intentions to quit smoking or to reduce the number of cigarettes were more frequent in women (OR = 1.51, 95% CI 1.01-2.27) and participants who worse evaluated their health (OR = 1.74, 95% CI 1.39- 2.18). Conclusion. High smoking prevalence in health professionals could be a barrier for the full implementation of smoking ban in health institutions in Serbia. Smoking cessation programs at workplaces, formal education in smoking cessation techniques, and better Law enforcement by health administrations should be implemented.


2020 ◽  
Vol 15 ◽  
Author(s):  
Solomon Hambisa ◽  
Rediet Feleke ◽  
Ameha Zewudie ◽  
Mohammed Yimam

Background:: Rational drug use comprises aspects of prescribing, dispensing and patient use of medicines for different health problems. This study is aimed to assess drug prescribing practice based on the world health organization prescribing indicators in Mizan-Tepi University teaching hospital. Methods:: An institutional based retrospective cross sectional study was conducted to evaluate prescribing practices in Mizan-Tepi University teaching hospital. Data were collected based on World health organization drug use indicators using prescription papers. 600 prescriptions dispensed through the general outpatient pharmacy of the hospital were collected by systematic random sampling method from prescriptions written for a 1-year time in Mizan-Tepi University teaching hospital. Results:: The present study found that the average number of drugs per prescription was 2.04 ± 0.87 in Mizan-Tepi University teaching hospital with a range between 1 and 5. Prescribing by generic name was 97.6 % and 47.8% of prescriptions contained antibiotics in the hospital. 27.7% of prescriptions contained at least one injectable medication in Mizan-Tepi University teaching hospital. From prescribed drugs, 96.7% of them were prescribed from Ethiopian essential drug list. Conclusion:: Present study indicated that the average number of drugs prescribed per encounter, the percentage of generic prescribing and prescribing from the EDL were close to optimal value. However, the percentage of encounters with antibiotics and injections prescribed were found be very high. Thus, the study highlights some improvements in prescribing habits, particularly by focusing on the inappropriate consumption of antibiotics and injections.


Author(s):  
Sangeetha Raja ◽  
Jamuna Rani R ◽  
Kala P

ABSTRACTObjective: The aim of this study was to carry out adverse drug reactions (ADRs) monitoring in various departments of a tertiary care teaching hospital.Methods: A cross-sectional study was conducted on ADRs reported in the hospital from December 2012 to May 2013 after obtaining InstitutionalEthics Committee approval.Results: A total of 40 ADRs were reported, 47.50% were males and 52.50% were females. The female adult population was 45%. The majority of ADRswere due to antimicrobial agents especially beta-lactam antibiotics (42.5%) followed by NSAIDs (7.50%). A maximum number of patients (75%)were reported with dermatological manifestations. The department of medicine reported the highest number of ADRs (37.5%). As per Naranjo’sprobability scale, 62.5% reports were assessed as probable. 62.5% reports were documented as mild according to Modified Hartwig’s criteria forseverity assessment.Conclusion: This study was done to sensitize the practicing physicians on the importance of adverse drug monitoring and reporting.Keywords: Pharmacovigilance, Adverse drug reactions, Tertiary care teaching hospital, Antimicrobial agents.


2018 ◽  
Vol 21 (3) ◽  
pp. 293-299 ◽  
Author(s):  
Anna L Wilkinson ◽  
Michelle Scollo ◽  
Sarah J Durkin ◽  
Megan Bayly ◽  
Mathew J Spittal ◽  
...  

2015 ◽  
Vol 14 (2) ◽  
pp. 13-17
Author(s):  
Sushma Dahal ◽  
Sabina Maharjan ◽  
Raj Kumar Subedi ◽  
Juna Maharjan

Background: Nepal as a signatory to Framework Convention on Tobacco Control (FCTC) in 2003 has passed a new tobacco control bill entitled “Tobacco product control and regulatory bill, 2010” in 2011. On this background, it is imperative to assess the knowledge and attitude of people towards this new regulation that forbids smoking in public places.Methodology: A descriptive cross-sectional study was conducted among 394 students of higher secondary level in three randomly selected colleges of Kathmandu district, Nepal. Information on respondents’ awareness on current ban, source of information, implementation status and their attitude towards the new regulation were collected using self-administered questionnaire. Analysis of quantitative data was done using descriptive statistics whereas qualitative data were analyzed manually.Results: Majority of respondents (79.9%) said that there is ban on smoking in public places in Nepal. The most common source of information was television (72.3%), followed by friends (36.5%) and family members (33.9 %). Most of the respondents (67.4%) had frequently seen people smoking in public places and 48.8% had not seen or heard any penalty given to those people. Overall, 74.1% of the participants stated that the ban on smoking in public places was a ‘very good thing’. Majority of those who viewed that the ban was good, reasoned ‘it will protect people from diseases like cancer’. Those who viewed that the ban was not good, reasoned ‘people cannot be changed by compelling’ and ‘to smoke or not to smoke is people’s own will’.Conclusion: This study shows that majority of adolescents are aware of and have positive attitude towards new regulation on smoking ban in public places in Nepal. There is need of implementing the policy strictly by raising awareness among people and penalizing those who violate it.


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