scholarly journals Egyptians Social Acceptance and Consenting Options for Posthumous Organ Donation. A Cross Sectional Study

2019 ◽  
Author(s):  
Ammal Mokhtar Metwally ◽  
Ghada A. Abdel-Latif ◽  
Lobna Eletreby ◽  
Ahmed Aboulghate ◽  
Amira Mohsen ◽  
...  

Abstract Background: Organ donation has become one of the most effective ways in developing and developed countries to save lives and improve the quality of life for patients with end-stage organ failure. No previous studies investigated either the Egyptians’ perception or preferences about different consenting options for organ donation. This study aims to assess Egyptian personal preferences and public perception of norm on several consenting options for posthumous organ donation, and measure the awareness and acceptance of the public to Egyptian law articles regulating organ donation. Methodology: A cross sectional study was conducted along two years among 2743 participants. Participants were chosen from governmental and non-governmental facilities as well as from the general public. Each participant was required to complete the study questionnaire which included demographic characteristics, personal preferences and public norms of eleven consenting options arranged from 1 (most preferred) to 11 (least preferred), and awareness and acceptance of the seven articles of Egyptian laws concerning organ donation. Results: About 78% of the respondents expressed willingness to donate their organs after death while 22% were not willing to donate. Out of donation preferences, informed consent by donor only was a preferable choice, where about one third of respondents assigned to this option the highest ranking scores (31% as a personal preference and 31.6 % for the public norm). There was no difference between males and females or between personal preferences and perception of norms in consenting systems ranking. The awareness for the targeted Egyptian laws regarding organ donation after death was relatively low ranging from 56% to 23%. Conclusion: Informed consent by donor only was the preferable choice as personal preference and as norm. The choice of consenting options did not vary with gender, education or employment. Increasing the awareness of Egyptians on the articles of the law of organ donation is highly needed.

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Mario Tarzi ◽  
Malke Asaad ◽  
Joudi Tarabishi ◽  
Obada Zayegh ◽  
Rama Hamza ◽  
...  

Abstract Background The perception of organ donation and brain death among Syrian population has not been previously explored. The goal of this study is to evaluate the attitude and knowledge of organ donation among Syrians and the willingness of this population to donate their organs. Methods We conducted a survey-based cross-sectional study in four hospitals in Aleppo, Syria in November 2019. Patient demographic, awareness of brain death; and attitude toward organ donation were collected and analyzed. Results A total of 350 individuals were invited to participate in the survey among whom 303 (197 females, 106 males) agreed to participate in the study (87% response rate). The majority of our participants (n = 249, 82%) heard about organ donation with television (n = 166, 55%), social media (n = 77, 25%), and the internet (n = 77, 25%) being the most common sources of information. When assessing knowledge about brain death, only 40% (n = 116) answered 3 or more questions (out of 5) correctly. Fifty-eight percent (n = 176) of respondents agreed with the idea of organ donation and 183 (62%) would like to donate their organs one day. The leading motivation to organ donation was the desire to help (n = 234, 77%), while the most common reason to refuse donation was the refusal to disfigure a dead body by removing an organ (n = 125, 41%). Religious reasons were cited as motivation for organ donation by 43% of participants (n = 130), and a reason for refusing to donate organs by 24% (n = 71). Most respondents (n = 261, 88%) were unaware of the laws and legislations related to organ donation in Syria. When asked if religion and law were encouraging organ donation, 76% of respondents (n = 226) would donate their organs. Although more positive attitude was found in those with better brain death knowledge (score ≥ 3), this did not translate into more willingness to donate organs in this group of participants. Conclusions The promotion of organ donations from deceased donors is a necessity given the rising shortage of organs. The information provided by this study could help policy makers build future strategies to promote deceased organ donation programs and overcome current obstacles preventing such initiatives from achieving their goals.


2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Ammal M. Metwally ◽  
Ghada A. Abdel-Latif ◽  
Lobna Eletreby ◽  
Ahmed Aboulghate ◽  
Amira Mohsen ◽  
...  

Author(s):  
Desirée Mena-Tudela ◽  
Susana Iglesias-Casás ◽  
Víctor Manuel González-Chordá ◽  
María Jesús Valero-Chillerón ◽  
Laura Andreu-Pejó ◽  
...  

Background: Obstetric violence is a worldwide public health problem, which seems greater in Spain. As no studies were found that identify the most representative healthcare professionals, times, and areas involved in obstetric violence, the objective of this work was to study at what time of maternity, with which professionals, and in what areas women identified obstetric violence. Methods: This descriptive, retrospective, and cross-sectional study was performed from January 2018 to June 2019. The main variables were the area (hospital, primary care, both), the time (pregnancy, birth, puerperium), and the professionals attending to women. Results: Our sample comprised 17,541 participants. The area identified with the most obstetric violence for the different studied variables was hospitals. Women identified more obstetric violence at time of birth. Findings such as lack of information and informed consent (74.2%), and criticism of infantile behavior and treatment (87.6%), stood out. The main identified healthcare professionals were midwives and gynecologists, and “other” professionals repeatedly appeared. Conclusions: Having identified the professionals, times, and areas of most obstetric violence in Spain, it seems necessary to reflect on not only the Spanish National Health System’s structure and management but also on healthcare professionals’ training.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dania Jaber ◽  
Rafat Abu Ghannam ◽  
Waleed Rashed ◽  
Mohammad Shehadeh ◽  
Sa’ed H. Zyoud

Abstract Background Generally, complementary and alternative therapies (CAT) are accepted methods of treatment by patients with various types of conditions. Their use is becoming especially prevalent among patients with eye problems even in developed countries. Thus, we aimed to determine the pattern of use of CAT in this patient population, to identify the patient characteristics associated with the use of CAT, and to assess the types of CAT used. Methods A descriptive, cross-sectional study was conducted in Palestine at An-Najah National University Hospital between the time periods of October 2019 to May 2020, using questionnaire-based face to face interviews. Data were collected through convenience sampling. Patients responded to the questionnaire, which was focused on information adapted from previous research in this area, covering socio-demographic and clinical characteristics, types of CAT, source of information, and side effects on CAT use. Results A total of 86 patients were interviewed for our study. Over two thirds, 67% reported using CAT for the specific purpose of improving their eye condition, and about one third (29.1%) received more than one therapy. The most common therapies reported were duea’ (i.e. supplication) (47.1%) and herbal therapies (24.1%). It was shown that patients with bilateral involvement of their eyes were almost twice more likely to describe using CAT than patients with unilateral eye pathology (p = 0.006). Also, patients who underwent surgery as their route of treatment were significantly less likely to use CAT (p = 0.043). Most of our study participants mentioned a non-physician source as their source of information regarding CAT with family members being the most frequently mentioned (30.2%) followed by the internet (25.6%) and friends (19.8%). Conclusions The prevalence of CAT use among patients with eye disease is somewhat high in our study population. Because CAT may trigger adverse reactions, influence the progression of the disease, and interfere with conventional treatment, the ophthalmologist should frequently be asked patients with such diagnostics regarding the use of these therapies. Further work is required to analyze the mechanisms of action and to establish realistic guidelines for the use of these modalities.


2017 ◽  
Vol 15 (1) ◽  
pp. 85-91 ◽  
Author(s):  
Renato Mitsunori Nisihara ◽  
Ana Carolina Possebom ◽  
Luiza de Martino Cruvinel Borges ◽  
Ana Claudia Athanasio Shwetz ◽  
Fernanda Francis Benevides Bettes

ABSTRACT Objective To describe the profile of lawsuits related to drug requests filled at the Federal Justice of the State of Paraná. Methods A cross-sectional study, and the data were obtained through consulting the lawsuits at the online system of the Federal Justice of Paraná. Results Out of 347 lawsuits included in the study, 55% of plaintiffs were women, with a median age of 56 years. Oncology was the field with more requests (23.6%), and the highest mean costs. A wide variety of diseases and broad variety of requested drugs were found in the lawsuits. Approximately two-thirds of them were requested by the brand name, and the most often requested drugs were palivizumab and tiotropium bromide. Only 14.5% of the requested medicines were registered in the National Medication Register. The Public Defender’s Office filled actions in 89.6% of cases and all lawsuits had an interim relief. The mean time for approval was 35 days and 70% of requests were granted. Conclusion Oncology was the field with the highest demand for medicines at the Federal Justice of Paraná in 2014. A great variety of medications was requested. The Public Defender´s Office represented most lawsuits. All demands had an interim relief, and the majority of requests were granted, within an average of 35 days.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Imane Failal ◽  
Sanae Ezzaki ◽  
Rania Elafifi ◽  
Naoufal Mtioui ◽  
Salma Elkhayat ◽  
...  

Abstract Background and Aims Organ transplantation is a treatment option to millions of patients worldwide. In this area, Morocco lags far behind the developed countries and even compared to some countries in the Arab world. The objective of this study is to assess the knowledge; social attitudes and perceptions of donation and organ transplantation by medical students. Method This is a cross-sectional study descriptive and analytical target held in the Faculty of Medicine and Pharmacy of. Results 320 medical students were surveyed. The mean age was 21.5 ± 2.32 years, with a female representing 78%. Almost all surveyed students knew the lethal diseases requiring the use of the graft (99.8%) and 97% of them knew the transplantable organs. 92% had heard of the possibility of organ transplants in Morocco, 90% of students felt that there are many people in need of transplants 87% of students were aware of the existence of legislation governing organ donation in Morocco. Only 7% thought that acts of donation and transplantation of organs are performed in private clinics, 89% of respondents know that there is a book in which one can register to make known its agreement to give its organs after death, 81% do not know the steps to register for this registre.97% were for organ donation and causes of refusal were: religion and the attainment of bodily integrity Conclusion There has to be targeted actions in order to promote donation and transplant in Morocco in order to enhance knowledge and information on medical, religious and legal order that the attitudes and perceptions of the population live.


2010 ◽  
Vol 15 (Number 2) ◽  
pp. 15-18
Author(s):  
S S Chowdhury ◽  
T Mehdi ◽  
F Alam ◽  
R Ishrat ◽  
S Parveen ◽  
...  

Stroke is Me third common cause of death in developed countries. Ischaernic stroke accounts for about 83 percent of all cases. For ischaemic stroke, besides modifiable and nononodifiable risk factors. there are some potential nosy risk factors which include mieroalbuminuria. Site objective of this study was to observe the association of microalbuminuria with isehaemic stroke and as well as consequent neurological deficits. This cross sectional study was done among 100 diagnosed patients of ischaeoric stroke of both sexes. A structured questionnaire and checklist was used to collect data through face to face interview. Urinary microalbuminuria was mesured in all study subjects and assessment of necrological defects was done by modified Ranakin scale. The study revealed that the frequency of presence of microallmminteria was significantly high in ischaernic stroke. Higher the level of mieroalburninuria higher was the necrological deficit. So, microalbunrinuria may be a marker for the process to develop the ischamnic stroke.


Author(s):  
Clea Adas Saliba Garbin ◽  
Bruno Wakayama ◽  
Tânia Adas Saliba ◽  
Orlando Adas Saliba Junior ◽  
Artênio José Ísper Garbin

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