Quality versus queasy: Trends in the use of antiemetics.

2015 ◽  
Vol 33 (29_suppl) ◽  
pp. 203-203
Author(s):  
Jayan Nair ◽  
Brendan F. Curley ◽  
Richard Fong ◽  
Jimmy Hwang ◽  
Michael Thomas Byrne
Keyword(s):  
Online Survey ◽  
Prescribing Patterns ◽  
Chi Square ◽  
Quality Cancer Care ◽  
Survey Results ◽  
Neurokinin 1 ◽  
American Society ◽  
Oncology Practice ◽  
Nk1 Receptor Antagonists ◽  
A Prospective Study

203 Background: The American Society of Clinical Oncology (ASCO) launched the Quality Oncology Practice Initiative (QOPI) program in 2010, to promote quality cancer care. Subsequently, ASCO has influenced the use of the neurokinin 1 (NK1) receptor antagonists aprepitant/fosaprepitant through peer-reviewed publications and the Choosing Wisely Campaign. These agents increase cost and, via CYP3A4 inhibition, may lead to drug interactions. Here we report our survey results that explored prescribing patterns of these agents among QOPI-certified and non-certified oncologists. Methods: An anonymous online survey was distributed to oncologists in four states. Respondents were asked 12 questions about the use of aprepitant/fosaprepitant in their clinical practice. Responses were analyzed in aggregate using likelihood ratio Chi-square tests. P-values of < 0.05 are significant. Descriptive statistics describe differences between groups. Results: We analyzed 157 responses and excluded 10 respondents that did not identify themselves as medical oncologists. 62.1% of the practitioners practice in a QOPI-certified practice (90/145). Compared with non-QOPI practitioners, QOPI physicians are significantly more likely to use NK1 antagonists with intermediate/low emetogenicity regimens like weekly cisplatin for head & neck cancer (83.3 vs. 28.0%, p: < 0.001), cervical & bladder cancer (85.2 vs. 34.0%, p: < 0.001), and with CHOP ± rituximab for lymphoma (82.4 vs. 18.0%, p: < 0.001). Significantly, the majority of QOPI-certified physicians report using these agents for the sole purpose of earning/maintaining QOPI certification (81.4-85.4%). QOPI-certified physicians are also significantly more likely to appropriately prescribe NK1 antagonists with doxorubicin ≥ 60 mg/m2 (86.4 vs. 51.9%, p: < 0.001), cisplatin ≥ 50 mg/m2 (96.3 vs. 76.9%, p: < 0.001) and dacarbazine (84.6 vs. 55.8%, p: < 0.001). Conclusions: Although QOPI-certified physicians are significantly more likely to use NK1 antagonists than non-QOPI physicians, our findings indicate that their motivation is to satisfy QOPI guidelines instead of perceived necessity. A prospective study may be beneficial to further define the role of NK1 antagonists with intermediate/low emetogenicity regimens.

scholarly journals Evaluation of Clinical Students' Perspectives and Satisfaction Levels on Practical Practices at the Faculty of Dentistry of Tokat Gaziosmanpaşa University in the Covid-19 Pandemic

2021 ◽  
pp. 20-22
Author(s):  
Işıl Sarıkaya
Keyword(s):  
Statistical Analysis ◽  
Online Survey ◽  
Practical Training ◽  
Dental Practice ◽  
Chi Square ◽  
Face To Face ◽  
Chi Square Test ◽  
Survey Results ◽  
5Th Grade ◽  
Academic Year

Aim: It was aimed to reveal the perspectives and satisfaction levels of 4th and 5th grade-clinical students who go on practice education at Tokat Gaziosmanpaşa University Faculty of Dentistry in the 2020-2021 Academic Year. Methods: Within the scope of the study, 146 students in total, who did their face-to-face internship between October 5 and December 11, 2020, were asked to participate in an online survey with 10 questions. Clinical students were asked about their perspective on Covid-19 infection, whether they felt safe in their dental practice, their families' level of anxiety about their internship, and whether they voluntarily chose dentistry. Results: According to the survey results; 15.1% of the students agree (TA), 27.4% agree (A), 37% partially agree (PA), 13% disagree (D) with the statement “I am pleased to have internships since the beginning of the term” 7.5% of them answered, “Strongly disagree” (SD). Pearson’s chi-square test was used in the statistical analysis of the answers given by 4th and 5th-grade students to the first 9 questions of the questionnaire consisting of the same questions. According to the survey results, it was also observed that most students chose the dentistry profession of their own will (TA 39%, A 36.3%, PA 13.7%). The number of students who think they feel safe in terms of infection control during their internship is 60% in total (TA 5.5%, A 17.1%, PA 37.7%). Conclusion: Despite the increasing number of cases until today, it is thought that the process has been successfully managed and that the students have gained experience in practical training, albeit limited.

scholarly journals Closed-system transfer device use with oncology biologics: A survey of Canadian healthcare practitioners

2021 ◽  
pp. 107815522110109
Author(s):  
Manmeet Khaira ◽  
Allison L Guy
Keyword(s):  
Clinical Practice ◽  
Closed System ◽  
Online Survey ◽  
Drug Product ◽  
Drug Products ◽  
Lack Of Information ◽  
Regulatory Bodies ◽  
Survey Results ◽  
Device Use ◽  
Oncology Practice

Introduction Closed-system transfer devices (CSTDs) were introduced into clinical practice to protect healthcare practitioners (HCPs) from exposure to hazardous drugs. However, ambiguous guidelines have led to confusion as to when CSTD use is required, as institutes are instructed to maintain their own hazardous drug lists and determine the appropriate level of personal protective equipment for their staff. This study seeks to understand the current use of CSTDs by Canadian oncology HCPs, the influence of various stakeholders on their use and the challenges faced by HCPs surrounding the use of these medical devices. Methods The researchers compiled a set of questions to inform on the current use of CSTDs in clinical practice and administered an online survey to oncology HCPs across Canada. Results The results indicate that though CSTD use is common in Canadian oncology practice settings, there is variation in the extent of the use of these devices across provinces and with which products these devices are used. The survey results also show that the top challenges with the use of CSTDs include cost, lack of information on the compatibility of a CSTD with a drug product, and CSTD impact on drug quality. Many respondents are aligned that regulatory bodies are more likely to influence the use of CSTDs with specific drug products than drug manufacturers. Conclusion Guidelines for the application of CSTDs in clinical practice vary and are often ambiguous. Regulatory bodies are uniquely positioned to provide healthcare institutions with more clarity on when CSTD use is appropriate.

American Society of Clinical Oncology 2001 Presidential Initiative: Impact of Regulatory Burdens on Quality Cancer Care

2002 ◽  
Vol 20 (24) ◽  
pp. 4722-4726 ◽  
Author(s):  
Lawrence H. Einhorn ◽  
Jenifer Levinson ◽  
Susan Li ◽  
Laurie Lamar ◽  
Deborah Kamin ◽  
...  
Keyword(s):  
Clinical Oncology ◽  
House Of Representatives ◽  
Death And Dying ◽  
The United States ◽  
Physician Education ◽  
Quality Cancer Care ◽  
American Society ◽  
Oncology Practice ◽  
Key Aspects

PURPOSE: This study was conducted as part of the American Society of Clinical Oncology (ASCO) 2001 Presidential Initiative to assess the administrative burden of payer documentation requirements and their impact on oncology practice. METHODS: The study consisted of a physician questionnaire and an activity log. Site visits were conducted to support survey data. Analysis included 2,493 questionnaires and 1,115 activity logs; data were also collected from site visits to 10 oncology practices. RESULTS: Increased documentation was the greatest concern among respondents, greater even than the stress of dealing with death and dying. More than 97% of survey respondents reported an increase in documentation (averaging 1.4 h/d) and 77% reported an increase in work hours because of documentation in the past 5 years. As a result, more than 40% of respondents reported decreases in key aspects of patient care and decreases in teaching (48%) and research (39%). Site visit data demonstrate similar trends. CONCLUSION: It is critical to find ways to decrease physician burden without decreasing the ability to prevent fraud and abuse. Reforms include provisions in a recently passed bill in the United States House of Representatives to streamline Medicare regulation and increase physician education. To address oncology-specific concerns, changes also should be made to supervision requirements for residents and fellows and evaluation and management documentation for oncology follow-up visits.

Examining User Perception and Usage of Voice Search

2020 ◽  
Vol 5 (1) ◽  
pp. 40-47
Author(s):  
Ning Sa ◽  
Xiaojun (Jenny) Yuan
Keyword(s):  
Success Rate ◽  
Mobile Devices ◽  
Online Survey ◽  
Search Behavior ◽  
Mobile Technologies ◽  
User Perception ◽  
Daily Lives ◽  
Survey Results ◽  
Search Systems

AbstractWith the development of mobile technologies, voice search is becoming increasingly important in our daily lives. By investigating the general usage of voice search and user perception about voice search systems, this research aims to understand users’ voice search behavior. We are particularly interested in how users perform voice search, their topics of interest, and their preference toward voice search. We elicit users’ opinions by asking them to fill out an online survey. Results indicated that participants liked voice search because it was convenient. However, voice search was used much less frequently than keyboard search. The success rate of voice search was low, and the participants usually gave up voice search or switched to keyboard search. They tended to perform voice search when they were driving or walking. Moreover, the participants mainly used voice search for simple tasks on mobile devices. The main reasons why participants disliked voice search are attributed to the system mistakes and the fact that they were unable to modify the queries.

Evaluation of the effects of Covid-19 in a dentist’s daily routine - A Survey

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 591-601
Author(s):  
Akansha Kishen ◽  
Anjali A K ◽  
Brundha M P ◽  
Muralidharan N P
Keyword(s):  
Online Survey ◽  
Dental Students ◽  
Cross Infection ◽  
Daily Routine ◽  
Significant Extent ◽  
Chi Square ◽  
Daily Routines ◽  
Routine Basis ◽  
Chi Square Test ◽  
Spss Software

Covid 19 is considered to be a pandemic virus infection. SARS-Cov-2 causes it. It is a viral infection that is transmitted through aerosol and droplet contamination, cross-infection, etc. Dentists are at a higher risk due to this corona. It has affected daily routines of dentist's life as they are unavailable to run the clinic and attend to patients. Different search engines like PubMed, and Google Scholar was used. The questionnaire consisting of twenty questions was prepared by using online survey google forms and circulated among the participants. SPSS software was used to evaluate the results and data collection. Statistical analysis was done by chi-square test. Later, results were being tabulated. This survey that is taken among dental students, dentists, and random public, it is seen that the majority of them are well aware of this recent pandemic attack. (COVID-19). It is concluded that dentists are affected to a significant extent due to coronavirus as their daily routine is affected severely. This study aims to identify the effect on dentist life on a routine basis due to the pandemic COVID - 19.

Advancing Women in Local Government: The Case of Illinois

Public Voices ◽  
2016 ◽  
Vol 13 (2) ◽  
pp. 89
Author(s):  
Rachel Lange ◽  
Kimberly Nelson
Keyword(s):  
Local Government ◽  
Positive Solution ◽  
Gender Gap ◽  
Family Life ◽  
Online Survey ◽  
Work Life ◽  
Time Commitment ◽  
Survey Results ◽  
Local Government Management ◽  
Professional Fields

Despite gains by women in many professional fields, the top level of local government management ranks continues to be populated primarily by man. The percentage of females serving as local government chief administrators has not increased since the 1980s. Little empirical research exists that attempts to uncover the reason for the gender gap. The purpose of this research is to identify some of the obstacles and barriers that affect a woman’s decision to advance her career in local government. Utilizing an online survey, the authors surveyed female chief administrative officers (CAOs), assistant CAOs, assistant to the CAOs, and deputy CAOs in Illinois. The survey results show that barriers such as a male dominated culture and time commitment to work life and family life are preventing females from achieving higher authority. Mentoring proves to be a positive solution to many of the barriers facing women in local government.

Analysis of Korean adolescents' sexual experience and substance use

2017 ◽  
Vol 45 (5) ◽  
pp. 809-817
Author(s):  
Gyu-Young Lee ◽  
Yun-Jung Choi
Keyword(s):  
Alcohol Consumption ◽  
Sex Education ◽  
Online Survey ◽  
Illicit Drugs ◽  
Sexual Experience ◽  
National Policy ◽  
Unprotected Sex ◽  
Sexual Experiences ◽  
Chi Square ◽  
Korean Adolescents

We investigated the relationship between Korean adolescents' sexual experience—including, kissing, petting, and sexual intercourse—and their alcohol consumption and use of illegal drugs and tobacco. We analyzed data taken from the responses of 74,186 adolescents who had participated in the 2012 Korean Youth Health Behavior Online Survey. Variables regarding sexual experiences, experience of contraception, and substance and alcohol use were extracted and analyzed using descriptive statistics, chi-square tests, and logistic regression. The results showed that fewer than 30% of the respondents reported always using contraception, and almost half reported rarely using contraception. The number of boys and girls reporting having had sexual experiences increased from 2 to 4 times when they also reported use of illicit drugs, smoking tobacco, or alcohol consumption. The results highlight a need for school-based sex education supported by a national policy and the provision of basic resources to reduce the incidence of unprotected sex and to improve healthy behavior of adolescents.

scholarly journals Integrating Sustainability and Lean: SLIM Method and Enterprise Game Proposed

2019 ◽  
Vol 11 (7) ◽  
pp. 2103 ◽  
Author(s):  
Ilie Tăucean ◽  
Matei Tămășilă ◽  
Larisa Ivascu ◽  
Șerban Miclea ◽  
Mircea Negruț
Keyword(s):  
Performance Indicators ◽  
Professional Training ◽  
Online Survey ◽  
Training Methods ◽  
Effective Solution ◽  
Survey Results ◽  
Education Activity ◽  
Industry And Education ◽  
The Unemployed

Sustainability and leanness are organizational approach concepts for more efficient activities and increased competitiveness. This paper presents a study and an application of the concepts of sustainability and lean, with the purpose to capitalize on the benefits of the two concepts’ tools when used together in an industry and education activity. A literature review was carried out to evaluate qualitatively and empirically the concepts of sustainability, lean, and enterprise games, and the possibility to integrate the first two concepts into a new tool applied into an enterprise game. An online survey was done to identify which tools are used within companies in the region, how and what training methods they used, and what the reported benefits are. The survey results were used to design a new tool integrated in a new enterprise game (SLIM) developed by the authors. The game was tested and validated in educational laboratory with students and actual employees from companies. The game follows the frame of an enterprise game, considering the simulation of enterprise classical functions. The game’s purpose is to improve the activity in successive rounds. A scorecard is used to fill in and compute the key performance indicators (KPIs), and a new indicator is proposed (SLIMx). Applications of the instrument/game include: students’ training in an educational laboratory; lifelong learning; professional training in companies; and professional perfection/reconversion of potential employees and the unemployed. The SLIM game was simulated in a team of 15 players over three rounds, with teachers playing the role of the supervisor. A number of possible improvements have been identified. The next step is testing it in enterprises with various fields of activity. SLIM has proven to be an effective solution to improve organizational efficiency and motivate players to gain new knowledge.

scholarly journals Assessing the utility and attitudes toward molecular testing in neuro-oncology: a survey of the Society for Neuro-Oncology members

2021 ◽  
Author(s):  
Shannon Fortin Ensign ◽  
Maya Hrachova ◽  
Susan Chang ◽  
Maciej M Mrugala
Keyword(s):  
Online Survey ◽  
Clinical Decision Making ◽  
Unmet Needs ◽  
Practice Patterns ◽  
Response Rate ◽  
Clinical Decision ◽  
Molecular Testing ◽  
Newly Diagnosed ◽  
Tumor Boards ◽  
Oncology Practice

Abstract Background Molecular testing (MT) is utilized in neuro-oncology with increasing frequency. The aim of this study was to determine clinical practice patterns to acquire this information, interpret and utilize MT for patient care, and identify unmet needs in the practical clinical application of MT. Methods We conducted a voluntary online survey of providers within the Society for Neuro-Oncology (SNO) membership database between March and April 2019. Results We received 152 responses out of 2022 SNO members (7.5% of membership). 88.8% of respondents routinely order MT for newly diagnosed gliomas. Of those who do not, testing is preferentially performed in younger patients or those with midline tumors. 82.8% use MT in recurrent gliomas. Other common indications included: metastatic tumors, meningioma, and medulloblastoma. Many providers utilize more than one resource (36.0%), most frequently using in-house (41.8%) over commercially available panels. 78.1% used the results for clinical decision-making, with BRAF, EGFR, ALK, and H3K27 mutations most commonly directing treatment decisions. Approximately, half (48.5%) of respondents have molecular tumor boards at their institutions. Respondents would like to see SNO-endorsed guidelines on MT, organized lists of targeted agents available for specific mutations, a database of targetable mutations and clinical trials, and more educational programs on MT. Conclusion This survey was marked by several limitations including response rate and interpretation of MT. Among respondents, there is routine use of MT in Neuro-Oncology, however, there remains a need for increased guidance for providers to effectively incorporate the expanding genomic data resulting from MT into daily Neuro-Oncology practice.

scholarly journals Feedback of patient survey on medication improves the management of polypharmacy: a pilot trial

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Yuta Hirose ◽  
Kiyoshi Shikino ◽  
Yoshiyuki Ohira ◽  
Sumihide Matsuoka ◽  
Chihiro Mikami ◽  
...  
Keyword(s):  
Health Professionals ◽  
Questionnaire Survey ◽  
Pilot Trial ◽  
Patient Survey ◽  
Contributing Factors ◽  
Chi Square ◽  
Oral Medications ◽  
Medical Institutions ◽  
Chi Square Test ◽  
Survey Results

Abstract Background Patient awareness surveys on polypharmacy have been reported previously, but no previous study has examined the effects of sending feedback to health professionals on reducing medication use. Our study aimed to conduct a patient survey to examine factors contributing to polypharmacy, feedback the results to health professionals, and analyze the resulting changes in the number of polypharmacy patients and prescribed medications. Methods After conducting a questionnaire survey of patients in Study 1, we provided its results to the healthcare professionals, and then surveyed the number of polypharmacy patients and oral medications using a before-after comparative study design in Study 2. In Study 1, we examined polypharmacy and its contributing factors by performing logistic regression analysis. In Study 2, we performed a t-test and a chi-square test. Results In the questionnaire survey, significant differences were found in the following 3 items: age (odds ratio (OR) = 3.14; 95% confidence interval (CI) = 2.01–4.91), number of medical institutions (OR = 2.34; 95%CI = 1.50–3.64), and patients’ difficulty with asking their doctors to deprescribe their medications (OR = 2.21; 95%CI = 1.25–3.90). After the feedback, the number of polypharmacy patients decreased from 175 to 159 individuals and the mean number of prescribed medications per patient decreased from 8.2 to 7.7 (p < 0.001, respectively). Conclusions Providing feedback to health professionals on polypharmacy survey results may lead to a decrease in the number of polypharmacy patients. Factors contributing to polypharmacy included age (75 years or older), the number of medical institutions (2 or more institutions), and patients’ difficulty with asking their physicians to deprescribe their medications. Feedback to health professionals reduced the percentage of polypharmacy patients and the number of prescribed medications. Trial registration UMIN. Registered 21 June 2020 - Retrospectively registered, https://www.umin.ac.jp/ctr/index-j.htm

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