Knowledge, Attitude, and Practice of Screening For Colon Cancer and Surveillance Colonoscopy for Patients With Predisposing Family History of Colon Cancer Among Primary Care Physicians and Gastroenterologists

2017 ◽  
Vol 112 ◽  
pp. S626-S628
Author(s):  
Thanh-Truc Le ◽  
Mohammad Bilal ◽  
Ali Hashmi
2022 ◽  
Vol 26 (119) ◽  
pp. 1
Author(s):  
Arwa Abdulsalam Alkhuraiji ◽  
Rema Saad Almohanna ◽  
Mohammed Hamad Aldebasi ◽  
Nouf Abdulaziz Altwaijri ◽  
Imad Abdulmajeed ◽  
...  

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e030346
Author(s):  
Nina Julie Verket ◽  
Ragnhild Sørum Falk ◽  
Erik Qvigstad ◽  
Tom Gunnar Tanbo ◽  
Leiv Sandvik

ObjectivesTo identify predictors of disease among a few factors commonly associated with endometriosis and if successful, to combine these to develop a prediction model to aid primary care physicians in early identification of women at high risk of developing endometriosis.DesignCross-sectional anonymous postal questionnaire study.SettingWomen aged 18–45 years recruited from the Norwegian Endometriosis Association and a random sample of women residing in Oslo, Norway.Participants157 women with and 156 women without endometriosis.Main outcome measuresLogistic and least absolute shrinkage and selection operator (LASSO) regression analyses were performed with endometriosis as dependent variable. Predictors were identified and combined to develop a prediction model. The predictive ability of the model was evaluated by calculating the area under the receiver operating characteristic curve (AUC) and positive predictive values (PPVs) and negative predictive values (NPVs). To take into account the likelihood of skewed representativeness of the patient sample towards high symptom burden, we considered the hypothetical prevalences of endometriosis in the general population 0.1%, 0.5%, 1% and 2%.ResultsThe predictors absenteeism from school due to dysmenorrhea and family history of endometriosis demonstrated the strongest association with disease. The model based on logistic regression (AUC 0.83) included these two predictors only, while the model based on LASSO regression (AUC 0.85) included two more: severe dysmenorrhea in adolescence and use of painkillers due to dysmenorrhea in adolescence. For the prevalences 0.1%, 0.5%, 1% and 2%, both models ascertained endometriosis with PPV equal to 2.0%, 9.4%, 17.2% and 29.6%, respectively. NPV was at least 98% for all values considered.ConclusionsExternal validation is needed before model implementation. Meanwhile, endometriosis should be considered a differential diagnosis in women with frequent absenteeism from school or work due to painful menstruations and positive family history of endometriosis.


2017 ◽  
Vol 18 (06) ◽  
pp. 629-634 ◽  
Author(s):  
Rasha A. Hseiki ◽  
Mona H. Osman ◽  
Rana T. El-Jarrah ◽  
Ghassan N. Hamadeh ◽  
Najla A. Lakkis

AimThis study aims to assess the knowledge, attitude and practice of primary care physicians (PCPs) in Lebanon regarding nutrition counseling and to investigate possible related barriers.BackgroundNutrition counseling is an important aspect of patient care, especially with the increase in nutrition-related disorders.MethodsThis is a descriptive study among a convenience sample of PCPs in Lebanon at two annual conferences in 2014 using an anonymous questionnaire.FindingsResponse rate was 54.6%. Overall, physicians considered that they have good to very good nutritional knowledge. Although they rated their formal nutritional education poorly, they had a positive attitude towards nutritional counseling and reported practicing general nutritional counseling with their patients. Barriers to nutritional counseling were: time, perceived poor patient adherence to diet, gap in physician’s nutritional knowledge and lack of insurance coverage for dietitian fees. Changes should be made to medical education curricula to include nutrition courses related to prevalent health problems.


2021 ◽  
Vol 16 (1) ◽  
pp. 39-49
Author(s):  
Phaik Choo Ooi ◽  
Gogilavendan Ramayah ◽  
Syahril Rizwan Omar ◽  
Vilasini Rajadorai ◽  
Thatsheila Nadarajah ◽  
...  

Introduction: Atrial fibrillation (AF) is known to lead to stroke and thromboembolism, causing a five-fold increase in the risk of stroke and almost doubling the mortality rate. Optimal anticoagulant therapy is effective in reducing AF-related death. However, prescription of anticoagulants in AF in East Asian countries has been low, ranging from 0.5% to 28%. This study aimed to determine whether vocational training in family medicine improves primary care physicians’ knowledge, attitude, and practice in the management of AF. Method: This investigation was a cross-sectional study carried out during centralized workshops for two groups of trainees using a validated questionnaire: (i) junior trainees were newly enrolled postgraduate trainees in the Graduate Certificate in Family Medicine (GCFM) program, and (ii) senior trainees were postgraduate trainees in Advance Training in Family Medicine (ATFM) programs of the Academy of Family Physicians of Malaysia (AFPM). Results: A total of 223 trainees (127 junior and 96 senior) participated in this study. Only 55.2% of the trainees passed the knowledge test; senior trainees were more likely to pass the knowledge test compared to junior trainees (69.8% vs. 44.1%, p <0.001). Female trainees were significantly more likely to pass the knowledge test than male trainees. While the attitude of senior and junior trainees was similar, more of the latter group worked in public clinic that provide better support where there is better support for outpatient anticoagulation treatment (e.g., same-day INR test, direct access echocardiogram, and warfarin in in-house pharmacy). Conclusion: Vocational training in family medicine appears to improve primary care physicians’ knowledge regarding the management of AF. Better knowledge will help vocationally trained primary care physicians to provide anticoagulation treatment for AF within primary care clinics. More optimal AF management within primary care can take place if the identified barriers are addressed and a shared care plan can be implemented.


2021 ◽  
Vol 0 ◽  
pp. 1-7
Author(s):  
Tariq N. Alotaibi ◽  
Ayman H. Jawadi ◽  
Abdullah A. Alghamdi ◽  
Sarah A. Aldeghaither ◽  
Ali A. Alhandi

Objectives: The aim of the study was to determine the current knowledge, attitude, and practice of developmental dysplasia of the hip (DDH) management among primary care physicians (PCP) in Saudi Arabia. Methods: A cross-sectional study on PCP from a single health-care system in Riyadh, Saudi Arabia, was conducted using a survey questionnaire to evaluate the medical knowledge, attitude, and current practice in the clinics, including diagnosis and screening skills. Results: Sixty-five PCPs participated in the survey, 32 (49.2%) were general practitioners and 33 (50.8%) were fellows and consultants. Only six physicians (9.2%) had formal training on DDH management. Twenty respondents (30.8%) had poor knowledge, while 45 (69.2%) had sufficient knowledge of DDH. Most of the respondents believed in the importance of asking about risk factors, the presence of DDH screening protocols and community awareness, and 89.2% of the respondents believed they need to go for further training about DDH. Fifty-nine respondents (90.8%) would refer a DDH case to an orthopedic surgeon when there are positive findings by a radiograph or ultrasound. Forty-two (64.6%) never examined the hip for DDH, and 30 (46.2%) never referred a DDH case. Conclusion: Knowledge of DDH among our PCP directly involved in the screening and management of DDH is sufficient. However, there is a discordance between knowledge to attitude and practice.


2021 ◽  
Vol 9 (E) ◽  
pp. 161-166
Author(s):  
Jilan Fachirah ◽  
Mutiara Indah Sari

Abstract BACKGROUND: Diabetes mellitus (DM) is a condition of increase in blood glucose levels, due to impaired synthesis and/or secretion of insulin. Family history of DM is one of the non-modifiable risk factors for someone to suffering DM. Individual knowledge, attitude, and practice towards DM also affects a person to suffering DM. AIM: This study aims to determine the relationship between family history of type 2 diabetes mellitus (T2DM) and knowledge, attitude, and practice regarding T2DM among medical students at the Universitas Sumatera Utara. METHODS: This study was an online questionnaire-based observational study. It was involved 370 medical students from batches of 2017, 2018, and 2019 at the Universitas Sumatera Utara during the period from April-October 2020. Data was collected using a questionnaire containing questions and statements regarding knowledge, attitude, and practice of respondents towards T2DM. The questionnaire also contains questions about respondents' family history of T2DM. The relationship between family history of T2DM and knowledge, attitude, and practice toward T2DM among medical students in the Universitas Sumatera Utara were analyzed using the Chi Square test, with SPSS version 24. RESULTS: From the 370 Universitas Sumatera Utara medical students were being respondents in this study, it was shown that good and poor knowledge scores toward T2DM were 50.8% and 49.2% respectively. The attitude scores were 53.5% and 46.5% respectively. The practice scores were 47.8% and 52.2% respectively. There were 197 students (53.2%) who have a family history of suffering from T2DM and 173 students (46.8%) did not have. The results of the analysis test between data showed that there was a significant relationship between a family history of T2DM with knowledge of T2DM (p = 0.002, RP = 1.921, 95% CI = 1.270-2.906), attitudes (p = 0.005, RP = 1.815, 95% CI = 1.200-2.745) and practice (p = 0.001, RP = 2.092, 95% CI = 1.380-3.173). CONCLUSION: In this study it is shown that the medical students have good knowledge and attitudes towards T2DM but it’s not in line with practice. A family history of T2DM is a factor that influences behavior, attitude, and practice towards T2DM in medical students at the Universitas Sumatera Utara.  


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