scholarly journals Are doctors protected enough during COVID-19 in South Asia?

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Nadia Nazir Jatoi ◽  
Saniya Ahmad ◽  
Emad ud-din Sajid ◽  
Farah Yasmin ◽  
Muhammad Sohaib Asghar ◽  
...  
Keyword(s):  
South Asia ◽  
Cross Sectional Study ◽  
Surgical Specialty ◽  
Male Physician ◽  
Cross Sectional ◽  
Medical Practitioners ◽  
News Reports ◽  
News Agencies ◽  
Different Characteristics ◽  
Significant Mortality

Abstract Background The highly contagious nature of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) places physicians in South Asia at high risk of contracting the infection. Accordingly, we conducted this study to provide an updated account of physician deaths in South Asia during the COVID-19 pandemic and to analyze and compare the different characteristics associated with physician mortality amongst the countries of the region. Methods We performed a cross-sectional study by using published news reports on the websites of news agencies from 9 selected countries in South Asia. Our study included only those physicians and doctors who died after contracting COVID-19 from their respective workplaces. All available data about the country of origin, type of, sex, age, medical or surgical specialty, and date of death were included. Results The total number of physician deaths reported due to COVID-19 in our study was 170, with half (87/170, 51%) of the deaths reported from Iran. Male physician deaths were reported to be 145 (145/170 = 85%). Internal Medicine (58.43%) was the most severely affected sub-specialty. The highest physician mortality rate in the general population recorded in Afghanistan (27/1000 deaths). General physicians from India [OR = 11.00(95% CI = 1.06–114.08), p = 0.045] and public sector medical practitioners from Pakistan [aOR = 4.52 (95% CI = 1.18–17.33), p = 0.028] were showing significant mortality when compared with other regions in multivariate logistic regression. Conclusion An increased number of physician deaths, owing to COVID-19, has been shown in South Asia. This could be due to decreased personal protective equipment and the poor health care management systems of the countries in the region to combat the pandemic. Future studies should provide detailed information of characteristics associated with physician mortalities along with the main complications arising due to the virus.

scholarly journals Are Doctors Protected Enough During COVID-19? A Cross-Sectional Study of Physician Mortality Numbers and Characteristics in South Asia

2021 ◽  
Author(s):  
Nadia Nazir Jatoi ◽  
Saniya Ahmad ◽  
Emaad-ud din Sajid ◽  
Syed Ali Farhan ◽  
Kaneez Fatima ◽  
...  
Keyword(s):  
South Asia ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Surgical Specialty ◽  
Cross Sectional ◽  
Future Studies ◽  
News Reports ◽  
News Agencies ◽  
Review Study ◽  
Different Characteristics

Abstract Background:The highly contagious nature of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) places physicians in South Asia at a high risk of contracting the infection. Accordingly, we conducted this review to provide an up to date account of physician deaths in South Asia during the COVID-19 pandemic and to analyze and compare the different characteristics associated with physician mortality amongst the countries of the region.Study Design:Cross-Sectional StudyMethodology:We performed a review study by using published news reports on the websites of news agencies from 9 selected countries in South Asia. Our study included only those physicians and doctors who died after contracting COVID-19 from their respective workplaces. All available data about the country of origin, type of, sex, age, medical or surgical specialty, and date of death were included.Results:The total number of physician deaths reported due to COVID-19 in our study was 170, with half (87/170, 51%) of the deaths reported from Iran. Male physicians' death was reported to be 145 (145/170=85%). Internal Medicine (58, 43%) was the most severely affected sub-specialty. The highest physician mortality rate in the general population recorded in Afghanistan (27/1000 deaths).ConclusionAn increased number of physician deaths, owing to COVID-19, is seen in South Asia. This could be due to decreased personal protective equipment and the poor health care management systems of the countries in the region to combat the pandemic. Future studies should provide a detailed account of characteristics associated with physician mortalities along with the main complications arising due to the virus.

scholarly journals P38 COVID-19 impact on Surgical Training And Recovery Planning (COVID-STAR) Survey

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
◽  
Joshua Clements
Keyword(s):  
Surgical Training ◽  
Negative Impact ◽  
Healthcare Delivery ◽  
Cross Sectional Study ◽  
Surgical Trainee ◽  
Surgical Specialty ◽  
Cross Sectional ◽  
Training Time ◽  
Surgical Trainees ◽  
And Training

Abstract Background The COVID-19 pandemic has resulted in dynamic changes to healthcare delivery. Surgery as a specialty has been significantly affected and with that the delivery of surgical training. Method This national, collaborative, cross sectional study comprising 13 surgical trainee associations distributed a pan surgical specialty survey on the COVID-19 impact on surgical training over a 4-week period (11th May - 8th June 2020). The survey was voluntary and open to medical students and surgical trainees of all specialties and training grades. All aspects of training were qualitatively assessed. This study was reported according to STROBE guidelines. Results 810 completed responses were analysed. (M401: F 390) with representation from all deaneries and training grades. 41% of respondents (n = 301) were redeployed with 74% (n = 223) redeployed > 4 weeks. Complete loss of training was reported in elective operating (69.5% n = 474), outpatient activity (67.3%, n = 457), Elective endoscopy (69.5% n = 246) with > 50% reduction in training time reported in emergency operating (48%, n = 326) and completion of work-based assessments (WBA) (46%, n = 309). 81% (n = 551) reported course cancellations and departmental and regional teaching programmes were cancelled without rescheduling in 58% and 60% of cases respectively. A perceived lack of Elective operative exposure and completions of WBA’s were the primary reported factor affecting potential training progression. Overall, > 50% of trainees (n = 377) felt they would not meet the competencies required for that training period. Conclusion This study has demonstrated a perceived negative impact on numerous aspects of surgical training affecting all training specialties and grades.

scholarly journals Evaluation of rational prescribing and dispensing of medicines in Mali

2017 ◽  
Author(s):  
Yaya Coulibaly ◽  
Fanta Sangho ◽  
Aboubacar Alassane Oumar
Keyword(s):  
Public Sector ◽  
Private Sector ◽  
Treatment Guidelines ◽  
Generic Drugs ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Medical Practitioners ◽  
The Public ◽  
Quality Of Prescribing

Objective: The drug policy of Mali is based on the concept of essential generic drugs. The adoption of generic drugs in a program is often accompanied by irrational use of these drugs precisely because of the availability of these drugs. Thus, this study was initiated to assess the quality of prescribing and dispensing drugs in Mali. Methods: This is a descriptive cross-sectional study was conducted from 2004 to 2013, the survey was conducted in 20 primary health centers and 20 private pharmacies in three regions of the country. In each of these structures, 30 prescriptions filled at the time of the survey were collected. Results: The average number of drugs per prescription was 3.0 ± 1.3 and 2.4 ± 1.2, respectively, in the public and private sectors. Prescription of drugs under international name was 91.6% in the public sector and 37.2% in the private sector. The public sector prescribed 33.7% of injectable drug against 16.2% in the private sector (p <0.001). The average cost of a prescription was lower in the public sector (3415.3 FCFA or 5.21euros) than in the private sector (7111 FCFA or 10.85 euros).Conclusion: Generic drugs are commonly used in the public, but much less in the private sector. The treatment guidelines are already available, should be introduced interactively to medical practitioners, through visits and intensive supervision by more experienced managers in the hierarchy, it would be likely to improve the quality of prescribing practitioners.

scholarly journals Awareness of Consumer Protection Act among medical and dental professionals - a cross sectional study from Davangere, Karnataka, India

2015 ◽  
Vol 1 (3) ◽  
pp. 14-19
Author(s):  
Shwetha Ramachandrappa ◽  
Vivek Sathyanarayan
Keyword(s):  
Corporate Culture ◽  
Consumer Protection ◽  
Ethical Issues ◽  
Cross Sectional Study ◽  
Medical Professionals ◽  
Cross Sectional ◽  
Medical Practitioners ◽  
Consumer Protection Act ◽  
Significant Difference ◽  
Dental Professionals

Background: Enormous scientific and technological advancements, reduced the mortality rate, morbidity but certain issues came up, which significantly affected the trust and relationship between a doctor and the patient such as, deteriorating quality of medical education, ethical issues, commercialization of medical fields and corporate culture for patient management. So it is important to know about the consumer protection act (CPA). The purpose of this research was to assess the awareness of CPA among Dental and Medical practitioners in Davangere city, Karnataka, India. Methods: 504 dental and medical professionals were included in the survey. A self?administered, structured questionnaire written in English script, validated through a pretested survey including 22 items was used to evaluate the awareness and practices regarding CPA among all the participants. Results: The results showed that there was no significant difference in awareness regarding COPRA among medical professionals and dental professionals. In this study we observed private practitioners had more awareness comparing with the doctors associated with the academic sector. Conclusion: Medical and dental professions need to update their understanding on consumer protection act and its amendments to be on a legally safer side. DOI: http://dx.doi.org/10.3126/jbs.v1i3.12474 J. Biomed Sci. 2014, 1(3):14-19

scholarly journals Prevalence and correlates of cardiometabolic multimorbidity among hypertensive individuals: a cross-sectional study in rural South Asia—Bangladesh, Pakistan and Sri Lanka

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e030584 ◽  
Author(s):  
Liang Feng ◽  
Imtiaz Jehan ◽  
H Asita de Silva ◽  
Aliya Naheed ◽  
Hamida Farazdaq ◽  
...  
Keyword(s):  
Rural Communities ◽  
Sri Lanka ◽  
South Asia ◽  
South Asians ◽  
Wealth Index ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Rural South ◽  
Physically Active

ObjectiveTo determinate the prevalence and correlates of cardiometabolic multimorbidity (CMM), and their cross-country variation among individuals with hypertension residing in rural communities in South Asia.DesignA cross-sectional study.SettingRural communities in Bangladesh, Pakistan and Sri Lanka.ParticipantsA total of 2288 individuals with hypertension aged ≥40 years from the ongoing Control of Blood Pressure and Risk Attenuation- Bangladesh, Pakistan and Sri Lanka clinical trial.Main outcome measuresCMM was defined as the presence of ≥2 of the conditions: diabetes, chronic kidney disease, heart disease and stroke. Logistic regression was done to evaluate the correlates of CMM.ResultsAbout 25.4% (95% CI 23.6% to 27.2%) of the hypertensive individuals had CMM. Factors positively associated with CMM included residing in Bangladesh (OR 3.42, 95% CI 2.52 to 4.65) or Sri Lankan (3.73, 95% CI 2.48 to 5.61) versus in Pakistan, advancing age (2.33, 95% CI 1.59 to 3.40 for 70 years and over vs 40–49 years), higher waist circumference (2.15, 95% CI 1.42 to 3.25) for Q2–Q3 and 2.14, 95% CI 1.50 to 3.06 for Q3 and above), statin use (2.43, 95% CI 1.84 to 3.22), and higher levels of triglyceride (1.01, 95% CI 1.01 to 1.02 per 5 mg/dL increase). A lower odds of CMM was associated with being physically active (0.75, 95% CI 0.57 to 0.97). A weak inverted J-shaped association between International Wealth Index and CMM was found (p for non-linear=0.058), suggesting higher risk in the middle than higher or lower socioeconomic strata.ConclusionsCMM is highly prevalent in rural South Asians affecting one in four individuals with hypertension. There is an urgent need for strategies to concomitantly manage hypertension, cardiometabolic comorbid conditions and associated determinants in South Asia.

scholarly journals Tuberculosis practices among private medical practitioners in Kaski district, Nepal

2013 ◽  
Vol 1 (2) ◽  
pp. 68-75
Author(s):  
AK Nepal ◽  
A Shrestha ◽  
SC Baral ◽  
R Bhattarai ◽  
Y Aryal
Keyword(s):  
Quality Of Care ◽  
Private Sector ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Public And Private ◽  
Medical Practitioners ◽  
Sputum Microscopy ◽  
Public And Private Sector

INTRODUCTION: Although the evidences suggest that more than one third tuberculosis (TB) cases are being managed in private sector, the quality of care in private sector is major concern. However, the information regarding the private practices were lacking. Therefore the study was conducted to gain insights on current practices of TB management at private sectors. MATERIALS AND METHODS: A descriptive cross sectional study, applying quantitative method, was conducted at two cities of Kaski among all private practitioners, private pharmacies and private laboratories through self administered questionnaire and structured interview schedule. RESULTS: Nearly one fourth of the TB suspects in the district were found to have consulted private providers with about 20.0% of the total smear positive cases diagnosed in private laboratories. Beside sputum microscopy, Private Medical Practitioners (PMPs) were also found to prefer other tests like X-ray, culture for TB diagnosis. Similarly, PMPs’ varying prescription of anti TB drugs beyond National TB Programme (NTP) recommendation along with their weak recording and case holding were noteworthy, and the cost of TB treatment seemed higher in private sector. Only one third of private institution had their staff trained in TB. Except some informal linkage, no collaboration between public and private sector was noted. CONCLUSIONS: Private sector was managing many TB cases in the district. However, their practice of TB management was not much satisfactory. Therefore NTP should take effective measures for Public Private Mix and to make them aware of the standards through training and orientation in order to improve the quality of care. DOI: http://dx.doi.org/10.3126/ijim.v1i2.7085 Int J Infect Microbiol 2012;1(1):68-75

scholarly journals Adherence to the Strengthening the Reporting of Observational Studies in Epidemiology Statement in Observational Studies Published in Iranian Medical Journals

2020 ◽  
Author(s):  
Soheila SHAGHAGHIAN ◽  
Behrooz ASTANEH
Keyword(s):  
Observational Studies ◽  
Medical Knowledge ◽  
Cross Sectional Study ◽  
Observational Research ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical Journals ◽  
Multistage Sampling ◽  
Different Characteristics ◽  
Strobe Statement

Background: Although much medical knowledge comes from observational research, such studies are more prone to confounding and bias than others. This study was conducted to evaluate the adherence of the observational studies published in Iranian medical journals to the STROBE (strengthening the reporting of observational studies in epidemiology) statement. Methods: In this cross-sectional study, we selected 150 articles of Iranian medical journals, using multistage sampling from Aug 2016 to Jun 2017. The reported items of the STROBE statement in the articles was determined and considered as the adherence of the articles to the statement. The adherence of the articles with different characteristics was compared. Results: The adherence of the articles to the statement varied from 24% to 68% with a mean score of 48%±9%. The lowest mean scores were found in the Result (36%) and Method (49%) sections. The adherence was significantly better in the articles published in the journals indexed in PubMed or Web of Knowledge (ISI) databases (P<0.001) and those written by cooperation of the authors from other countries (P=0.044). Conclusion: The evaluated articles in our study had not adequately reported the items recommended by the STROBE statement. This indicates deficiency in key elements for readers to assess the validity and applicability of a study.  

scholarly journals Prevalence of Urinary Incontinence in School Going Children: A Cross-sectional Study

2021 ◽  
Vol 18 (4) ◽  
pp. 676-680
Author(s):  
Nistha Shrestha ◽  
Salina Sahukhala ◽  
Diva K.C ◽  
Dawn Sandalcidi ◽  
Shambhu Prasad Adhikari
Keyword(s):  
Urinary Incontinence ◽  
Descriptive Analysis ◽  
Psychological Impact ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Keywords Children ◽  
Symptom Index ◽  
Cross Sectional ◽  
Medical Practitioners ◽  
Spearman’S Correlation

Background: Urinary incontinence is a highly prevalent condition that affects both gender across the age span and has significant social and psychological impact. The objective of this study was to determine the prevalence of urinary incontinence in school going children and assess the association of Incontinence Symptom Index-Pediatrics with age and gender.Methods: A cross-sectional study was carried among 305 children aged 11-16 years using convenient sampling in a school of Dhulikhel municipality. Data were analysed using descriptive analysis and spearman’s correlation coefficient.Results: Prevalence of stress, urge and nocturnal enuresis were 22.95%, 19.34% and 3.93% respectively. Gender was significant with stress (p>0.001) and urge (p>0.039) incontinence whereas age was significant with nocturnal enuresis.Conclusion: The episode of Urinary incontinence is common in school going children. It’s important that children, parents, teachers and medical practitioners be aware of these phenomena. Keywords: Children; prevalence; urinary incontinence

scholarly journals Experiences of receiving and providing maternity care during the COVID-19 pandemic in Australia: A five-cohort cross-sectional comparison

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248488
Author(s):  
Zoe Bradfield ◽  
Karen Wynter ◽  
Yvonne Hauck ◽  
Vidanka Vasilevski ◽  
Lesley Kuliukas ◽  
...  
Keyword(s):  
Maternity Care ◽  
Online Survey ◽  
Health And Safety ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Medical Practitioners ◽  
Key Stakeholders ◽  
Service Redesign ◽  
New Evidence ◽  
The Way

Introduction The global COVID-19 pandemic has radically changed the way health care is delivered in many countries around the world. Evidence on the experience of those receiving or providing maternity care is important to guide practice through this challenging time. Methods A cross-sectional study was conducted in Australia. Five key stakeholder cohorts were included to explore and compare the experiences of those receiving or providing care during the COVID-19 pandemic. Women, their partners, midwives, medical practitioners and midwifery students who had received or provided maternity care from March 2020 onwards in Australia were recruited via social media and invited to participate in an online survey released between 13th May and 24th June 2020; a total of 3701 completed responses were received. Findings While anxiety related to COVID-19 was high among all five cohorts, there were statistically significant differences between the responses from each cohort for most survey items. Women were more likely to indicate concern about their own and family’s health and safety in relation to COVID-19 whereas midwives, doctors and midwifery students were more likely to be concerned about occupational exposure to COVID-19 through working in a health setting than those receiving care through attending these environments. Midwifery students and women’s partners were more likely to respond that they felt isolated because of the changes to the way care was provided. Despite concerns about care received or provided not meeting expectations, most respondents were satisfied with the quality of care provided, although midwives and midwifery students were less likely to agree. Conclusion This paper provides a unique exploration and comparison of experiences of receiving and providing maternity care during the COVID-19 pandemic in Australia. Findings are useful to support further service changes and future service redesign. New evidence provided offers unique insight into key stakeholders’ experiences of the rapid changes to health services.

scholarly journals Supply and Distribution of Vascular Access Physicians in the United States: A Cross-Sectional Study

Kidney360 ◽  
2020 ◽  
Vol 1 (8) ◽  
pp. 763-771
Author(s):  
Shoou-Yih D. Lee ◽  
Jie Xiang ◽  
Abhijit V. Kshirsagar ◽  
Diane Steffick ◽  
Rajiv Saran ◽  
...  
Keyword(s):  
United States ◽  
Vascular Access ◽  
Primary Care Physicians ◽  
The United States ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Health Resource ◽  
Surgical Specialty ◽  
Cross Sectional ◽  
Hospital Referral

BackgroundBecause functioning permanent vascular access (arteriovenous fistula [AVF] or arteriovenous graft [AVG]) is crucial for optimizing patient outcomes for those on hemodialysis, the supply of physicians placing vascular access is key. We investigated whether area-level demographic and healthcare market attributes were associated with the distribution and supply of AVF/AVG access physicians in the United States.MethodsA nationwide registry of physicians placing AVFs/AVGs in 2015 was created using data from the United States Renal Data System and the American Physician Association’s Physician Masterfile. We linked the registry information to the Area Health Resource File to assess the supply of AVF/AVG access physicians and their professional attributes by hospital referral region (HRR). Bivariate analysis and Poisson regression were performed to examine the relationship between AVF/AVG access physician supply and demographic, socioeconomic, and health resource conditions of HRRs. The setting included all 50 states. The main outcome was supply of AVF/AVG access physicians, defined as the number of physicians performing AVF and/or AVG placement per 1000 prevalent patients with ESKD.ResultsThe majority of vascular access physicians were aged 45–64 (average age, 51.6), male (91%), trained in the United States (76%), and registered in a surgical specialty (74%). The supply of physicians varied substantially across HRRs. The supply was higher in HRRs with a higher percentage white population (β=0.44; SEM=0.14; P=0.002), lower unemployment rates (β=−10.74; SEM=3.41; P=0.002), and greater supply of primary care physicians (β=0.18; SEM=0.05; P=0.001) and nephrologists (β=15.89; SEM=1.22; P<0.001).ConclusionsGeographic variation was observed in the supply of vascular access physicians. Higher supply of such specialist physicians in socially and economically advantaged areas may explain disparities in vascular access and outcomes in the United States and should be the subject of further study and improvement.

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