Awareness And Abuse Of Ototoxic Drugs Among Health Professionals In Federal Teaching Hospital, Ido-Ekiti

Background of study—The challenge of hearing loss is global but worse in Africa. It heavily weighs adversely on the national economy, occupational productivity and social integration on the Individual and family affected and on the community and society at large. Injury to the ear which may lead to hearing loss have been attributed to many factors, one of the major factors, being drugs that are injurious to the ear commonly called ototoxic drugs. Other damaging factors are infections, noise, genetics and metabolic systemic diseases. The menace of ototoxic drugs is devastating in Africa because there is no legislation yet against these drugs hence they are still easily purchased without medical prescription. There are over 200 known ototoxic medications (both prescribe drugs and over-the-counter) in the market today. This study was therefore aimed at assessing awareness and abuse of ototoxic drug among health care professionals in a federal teaching hospital in Nigeria as a preliminary study to comprehensive solution to the challenges of hearing loss in Nigeria. Methodology—A descriptive cross-sectional quantitative study with purposive sampling technique was used as the research design which is aimed at determining the awareness and abuse of ototoxic drugs among health professionals in a Federal Teaching Hospital A sample size of 365 participants was calculated for the research study but only 191 persons participated in the study comprising of 111 nurses, 47 doctors, 33 pharmacists. Semi- structured questionnaires were administered to the target group; Test-retest method was used to test the reliability of the questionnaire. Data was analyzed using SPSS and analysis was done at both univariate and bivariate levels. Result—The findings from the study revealed that there was a high level of awareness of ototoxic drugs among health professionals (94.8%) but prevalence (66.5%) level of ototoxic drug was also high. Majority of the respondent have high level of awareness about ototoxic drugs, therefore use some of the drugs with precaution but it was found however that the prevalence of ototoxic drug was still high and this is found to be attributed to other compelling factors such as reduced price, readily available and shorter medication regime. Findings from the study also revealed that there is a significant relationship between level of education of respondents and their awareness about ototoxic drugs but there is no significant relationship between the profession of respondents and their awareness of ototoxic drug use.

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Frequency of Neck and Upper Extremity Musculoskeletal Disorders in Dentists

Journal of Islamabad Medical & Dental College ◽

10.35787/jimdc.v9i3.404 ◽

2020 ◽

Vol 9 (3) ◽

pp. 207-211

Author(s):

Sidra Sarwar ◽

Sara Khalid ◽

Tahir Mahmood ◽

Hadeeqa Jabeen ◽

Shahid Imran

Keyword(s):

Upper Extremity ◽

Musculoskeletal Disorders ◽

Health Care Professionals ◽

Descriptive Analysis ◽

Sampling Technique ◽

Cross Sectional Study ◽

Cross Sectional ◽

Dental Hospital ◽

Upper Extremity Musculoskeletal Disorders ◽

And Performance

Background: Musculoskeletal disorders are not only becoming prevalent among health care professionals in our country but are affecting their health and performance adversely. They are caused by poor ergonomics and awkward posture during work activities. The purpose of this study was to determine the frequency of neck and upper limb musculoskeletal disorders in dentists of Lahore, Pakistan. Material and Methods: This cross-sectional study was conducted during October 2017 to March 2018. The data was collected using convenient sampling technique from 162 Dentists including 52 males and 110 females of Children hospital Lahore, Punjab Dental hospital and Fatima Memorial Hospital, Lahore. Data was collected by using Mangalore Questionnaire for identification of musculoskeletal disorders. Descriptive analysis of the data was done using SPSS version 22.0. Results: Of 162 dentists, 115 (71%) suffered from musculoskeletal disorders. Shoulder was the most commonly affected region (30.9%) followed by neck (25.9%), arm (6.2%), wrist (4.3%), elbow (3.1%) and forearm (0.6%). Pain (45.7%) was found to be the most common complaint followed by muscle weakness (20.4%), paraesthesia (3.7%) and swelling (1.2%). Conclusions: It was concluded that majority of the dentists were suffering from musculoskeletal disorders with shoulder as the most affected region and pain as the most frequent complaint. Key words: Dentists, Musculoskeletal disorders, Neck pain, Upper extremity

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Burnout Determinants among Nurses Working in Palliative Care during the Coronavirus Disease 2019 Pandemic

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18073358 ◽

2021 ◽

Vol 18 (7) ◽

pp. 3358

Author(s):

José Vítor Gonçalves ◽

Luísa Castro ◽

Guilhermina Rêgo ◽

Rui Nunes

Keyword(s):

Palliative Care ◽

Health Care Professionals ◽

Online Survey ◽

Three Dimensions ◽

Linear Regression Models ◽

Perceived Health Status ◽

Cross Sectional ◽

National Network ◽

Work Related ◽

High Level

Nurses working in palliative care are at risk of burnout. The Copenhagen Burnout Inventory was used to determine burnout levels of nurses working in the Portuguese national network of palliative care. We evaluated the contribution of personal, work, and COVID-19 variables in three burnout subclasses: personal, work, and patient-related. A cross-sectional, exploratory, and quantitative design was employed and participants were sampled using convenience and snowball technique. An online survey was conducted and 153 nurses participated in our study. Socio-demographic characterization was conducted, levels of burnout and determinants were explored through multiple linear regression models for its three dimensions. High levels of personal, working, and patient burnout were present in 71 (46%), 68 (44%), and 33 nurses (22%), respectively. Most of them agreed that COVID-19 had an impact on their activities. Significant personal and work related burnout factors found were specialization in palliative care, self-perceived health status, unit type, weekly hours of work, and allocation to COVID-19 units. Gender was found to be a significant factor in patient-related burnout. There is a high level of burnout among nurses working in the Portuguese national network of palliative care. Measures for identification and mitigation of burnout are necessary to protect health care professionals.

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Knowledge, attitudes and behaviours towards vaccination: a survey of university students in Europe

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1404 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

A Callegaro ◽

L Chinenye Ilogu ◽

O Lugovska ◽

S Mazzilli ◽

A Prugnola ◽

...

Keyword(s):

Health Care ◽

Medical Students ◽

Health Care Professionals ◽

Online Survey ◽

Educational Interventions ◽

Cross Sectional ◽

High Level ◽

Coverage Rates ◽

The University ◽

Vaccination Knowledge

Abstract Background Immunisation programs are still facing substantial challenges in achieving target coverage rates. This has been attributed to the growing negative individual vaccination attitudes and behaviours. Most of the current studies assessing vaccination knowledge, attitude and beliefs targets adults. However, young people represent future parents and health care professionals. The objective of this study was to investigate vaccination knowledge attitudes and behaviours among university medical and non-medical students in Europe. Methods We performed a cross-sectional online survey between April and July 2018. The study participants were students attending different faculties at the University of Antwerp, Belgium and the University of Pisa, Italy. We described sample characteristics. The effect of risk factors was tested with univariate and multivariate logistic regressions. Results A total of 2079 participants completed the survey including 873 medical students and 1206 from other faculties. The average of vaccination knowledge, attitudes, and confidence was respectively 5.51 (SD: 1.41), 4.66 (SD: 0.14) and 5.28 (SD: 0.57) on the 6-points scale. Our respondents demonstrated a high level of awareness with respect to their vaccination history. In total, 67.7% (n = 1407) reported to have received at least one vaccine in the previous five years; only 6.0% (n = 35) did not receive any vaccine in the previous 10 years. According to logistic regression analysis Italian students had significantly higher knowledge, attitude and confidence scores than Belgium respondents. Students of medicine scored significantly higher compared to non-medical students. Conclusions In order to reduce the gaps in vaccinations knowledge between non-medical and medical students we should plan educational interventions. In this way the number of future sceptical parents could be decreased. Further studies are required to explain the differences between countries. Key messages Young adults are the parents and the health care professionals of the future, for this reason their vaccination knowledge attitudes and behaviours should be carefully monitored. European non-medical students have lower vaccinations knowledge, attitudes and confidence compared with medical student. In order to fill these gaps, we should plan educational interventions.

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Knowledge, Attitude and Practices of Pharmacovigilance among Doctors at a Tertiary Care Teaching Hospital Birgunj, Nepal

Med Phoenix ◽

10.3126/medphoenix.v6i1.36681 ◽

2021 ◽

Vol 6 (1) ◽

pp. 14-18

Author(s):

Smita Singh ◽

Deependra Prasad Sarraf ◽

Prabin Singh ◽

Pragati Poudyel

Keyword(s):

Teaching Hospital ◽

Health Care Professionals ◽

Tertiary Care ◽

College Teaching ◽

Cross Sectional Study ◽

Cross Sectional ◽

Tertiary Care Teaching Hospital ◽

Care Teaching ◽

Medical College ◽

National Medical

Introduction: Pharmacovigilance helps in the detection and prevention of adverse effects of drugs. For the effectiveness of this program, health care professionals should report adverse drug reactions (ADRs) considering it as their moral and professional obligation. The objective of the study was to assess the knowledge, attitude, and practices (KAP) of the doctors towards ADRs and pharmacovigilance in National Medical College Teaching Hospital (NMCTH), a tertiary care teaching hospital situated in the Narayani zone. Materials and Methods: A cross-sectional study was carried out using a self-administered questionnaire consisting of four parts; first part included a demographic profile of participants, the second part consisted of ten questions for the assessment of the knowledge about pharmacovigilance, third part comprised of six questions on attitude and fourth part consisted of five questions on practice. The results were depicted in the form of percentages for each KAPs questionnaire. Results: The response rate of participants was 85.16%. Pharmacovigilance was correctly defined by 52%. Department of drug administration was responsible for monitoring ADRs in Nepal was correctly given by 80%. Only 8% had reported ADRs, although 62% had encountered an ADR in their clinical practice. Conclusion: The doctors at NMCTH had a poor KAP towards pharmacovigilance and educational intervention is needed for the proper functioning of this program.

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HUBUNGAN PENGGUNAAN GADGET DENGAN PROKRASTINASI AKADEMIK PADA MAHASISWA NERS TINGKAT II STIKes SANTA ELISABETH MEDAN TAHUN 2019

Elisabeth Health Jurnal ◽

10.52317/ehj.v4i2.272 ◽

2019 ◽

Vol 4 (2) ◽

pp. 89-101

Author(s):

Samfriati S ◽

Lilis N ◽

Mercy N G

Keyword(s):

Nursing Students ◽

Sampling Technique ◽

P Value ◽

Academic Procrastination ◽

Cross Sectional ◽

Exact Test ◽

Level Ii ◽

Questionnaire Result ◽

Long Time ◽

High Level

Academic procrastination is one of the postponement behaviors in lecture activities that are often found in students, in this study respondents experiencees a high level of procrastination that could hamper academic activities. One of the causes of procrastination is the use of gadgets that are too long to play games, music, entertainment and so on. Goals : The purpose of this study is to find out the relationship between the use of gadgets and academic procrastination onNursing Students level II Saint Elisabeth Medan 2019. Method : The study design is Cross Sectional. Total sampling technique sample are112 students. The measuring instrument used is a questionnaire. Result : The results shows that the majority of use of positive gadgets (92.9%) and moderate academic procrastination (63.4%). Based on the Fisher's Exact Test, it obtained p-value 0.026 (p <0.05), thus indicating a relationship between the use of gadgets and academic procrastination on nursing students level II STIKes Saint Elisabeth Medan. Conculsion: It is expected that respondents will be able to manage time well and not use gadgets for a long time for things that are not useful. Respondent s are expected to use gadgets for things that can support learning activities.

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Assessing Apps for Patients with Genitourinary Tumors Using the Mobile Application Rating Scale (MARS): Systematic Search in App Stores and Content Analysis (Preprint)

10.2196/preprints.17609 ◽

2019 ◽

Author(s):

Miguel Ángel Amor-García ◽

Roberto Collado-Borrell ◽

Vicente Escudero-Vilaplana ◽

Alejandra Melgarejo-Ortuño ◽

Ana Herranz-Alonso ◽

...

Keyword(s):

Prostate Cancer ◽

Health Care ◽

Health Professionals ◽

Health Care Professionals ◽

Mobile Application ◽

Rating Scale ◽

Cross Sectional ◽

Cancer Symptoms ◽

Genitourinary Cancers

BACKGROUND The large number of available cancer apps and their impact on the population necessitates a transparent, objective, and comprehensive evaluation by app experts, health care professionals, and users. To date, there have been no analyses or classifications of apps for patients with genitourinary cancers, which are among the most prevalent types of cancer. OBJECTIVE The objective of our study was to analyze the quality of apps for patients diagnosed with genitourinary cancers using the Mobile Application Rating Scale (MARS) and identify high-quality apps. METHODS We performed an observational cross-sectional descriptive study of all smartphone apps for patients diagnosed with genitourinary cancers available on iOS and Android platforms. In July 2019, we searched for all available apps for patients with genitourinary cancers (bladder, prostate, cervical, uterine, endometrial, kidney, testicular, and vulvar) or their caregivers. Apps were downloaded and evaluated, and the general characteristics were entered into a database. The evaluation was performed by 2 independent researchers using the MARS questionnaire, which rates 23 evaluation criteria clustered in 5 domains (Engagement, Functionality, Esthetics, Information, and Subjective Quality) on a scale from 1 to 5. RESULTS In total, 46 apps were analyzed. Of these, 31 (67%) were available on Android, 6 (13%) on iOS, and 9 (20%) on both platforms. The apps were free in 89% of cases (41/46), and 61% (28/46) had been updated in the previous year. The apps were intended for prostate cancer in 30% of cases (14/46) and cervical cancer in 17% (8/46). The apps were mainly informative (63%, 29/46), preventive (24%, 11/46), and diagnostic (13%, 6/46). Only 7/46 apps (15%) were developed by health care organizations. The mean MARS score for the overall quality of the 46 apps was 2.98 (SD 0.77), with a maximum of 4.63 and a minimum of 1.95. Functionality scores were quite similar for most of the apps, with the greatest differences in Engagement and Esthetics, which showed acceptable scores in one-third of the apps. The 5 apps with the highest MARS score were the following: “Bladder cancer manager,” “Kidney cancer manager,” “My prostate cancer manager,” “Target Ovarian Cancer Symptoms Diary,” and “My Cancer Coach.” We observed statistically significant differences in the MARS score between the operating systems and the developer types (P<.001 and P=.01, respectively), but not for cost (P=.62). CONCLUSIONS MARS is a helpful methodology to decide which apps can be prescribed to patients and to identify which features should be addressed to improve these tools. Most of the apps designed for patients with genitourinary cancers only try to provide data about the disease, without coherent interactivity. The participation of health professionals in the development of these apps is low; nevertheless, we observed that both the participation of health professionals and regular updates were correlated with quality.

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FAKTOR DURASI MENDERITA DM TIPE 2 MEMPENGARUHI PERUBAHAN KEMAMPUAN EFIKASI DIRI

Jurnal Ilmiah Perawat Manado (Juiperdo) ◽

10.47718/jpd.v8i01.896 ◽

2020 ◽

Vol 8 (01) ◽

pp. 52-69

Author(s):

Nurul Kartika Sari ◽

Rivan Firdaus

Keyword(s):

Type 2 Diabetes ◽

Sex Education ◽

Significant Relationship ◽

Self Efficacy ◽

Sampling Technique ◽

P Value ◽

Cross Sectional ◽

Type 2 Dm ◽

As Stress

Background: Diabetes Mellitus (DM) cases increased by 776 cases from the previous year based on data from Abdul Wahab Sjahranie Regional Hospital. There are many changes that occur in the life of people with type 2 diabetes, such as stress, anxiety, anger, and feeling useless. These problems can be minimized if the patient also has the knowledge and ability as well as good self-efficacy to manage the disease by doing self-care. Aim: To analyze the factors associated with the self-efficacy of type 2 DM patients. Methods: a quantitative study with a cross sectional approach. The purposive sampling technique for Type 2 DM patients at Abdul Wahab Sjahranie Hospital Samarinda, totaling 60 respondents from September-October 2018. Results: showed a significant relationship between duration of suffering and self-efficacy of DM patients with a p value <0.001, and there was no significant relationship between age, sex, education level, knowledge, motivation and self-efficacy with a p value> 0.001. Conclusion: The duration of type 2 diabetes is related to the patient's self-efficacy ability.

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Prevalence of sensorineural hearing loss among patients of diabetes mellitus in Southern Punjab, Pakistan

Journal of Shifa Tameer-e-Millat University ◽

10.32593/jstmu/vol1.iss1.36 ◽

2019 ◽

Vol 1 (1) ◽

pp. 32-36

Author(s):

Shahid Majeed ◽

Nazia Mumtaz ◽

Ghulam Saqulain

Keyword(s):

Diabetes Mellitus ◽

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Pure Tone Audiometry ◽

Sampling Technique ◽

Sensorineural Hearing ◽

P Value ◽

Male Population ◽

Cross Sectional ◽

High Prevalence

Background: Diabetes Mellitus (DM) is a common metabolic disorder with a prevalence of 11.77%. Studies report that DM can result in Sensorineural hearing loss (SNHL). A high prevalence of Hearing loss (HL) (43.6%) in diabetics was noted in an Indian study. In absence of local studies and a high expected prevalence, with no screening recommendations, this study was carried out to determine the prevalence of Sensorineural Hearing Loss (SNHL) in Diabetes Mellitus DM in Southern Punjab. Methodology: In this cross-sectional study, a sample of 310 diabetics, hailing from southern Punjab and fulfilling selection criteria were recruited. Samples were collected using probability sampling technique from September 2016 to December 2016. Following detailed history and examination, cases were subjected to pure tone audiometry (PTA) at 0.5 to 6 KHz to obtain hearing thresholds to determine the prevalence. Data was analyzed by SPSS 20. Results: Sample included N=310 diabetics with Mean age of 35.00 + 6.93 years with 58.39% males and 41.61% females. The prevalence of HL was 46.1%. Gender wise of the male population with HL, 27.97% and 28.67% had mild and moderate HL respectively with severe HL in 8.39% cases, while moderate HL was prevalent in females 20.98%, followed by mild HL in 9.97% and severe HL in 4.20%. There was significant correlation between Diabetes and SNHL with p-value < 0.05. Conclusion: There is a high prevalence of sensorineural hearing loss in Diabetes mellitus.

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ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPUASAN KERJA TENAGA MEDIS DI PUSKESMAS KOTA PADANG

Jurnal Endurance ◽

10.22216/jen.v2i3.1971 ◽

2017 ◽

Vol 2 (3) ◽

pp. 333

Author(s):

Winanda Winanda ◽

Ricvan Dana Nindrea

Keyword(s):

Job Satisfaction ◽

Significant Relationship ◽

Quantitative Research ◽

Sampling Technique ◽

Simple Random Sampling ◽

Medical Personnel ◽

Bivariate Analysis ◽

Cross Sectional ◽

Primary Health ◽

The Relationship

The number of medical personnel in the Padang City is still a shortage of the amount required is 83 people, but this time medical personnel numbered 53 people. This research was carried out by combining two types of research are mixed method, preceded by a quantitative research with cross sectional approach, followed by qualitative research. The study was conducted in Primary Health Care Padang City. The population in this study are all medical personnel in the Padang City with a sample of 38 people, with a sampling technique is simple random sampling. The bivariate analysis known there are significant relationship between work (p = 0,023), compensation (p = 0,001), supervision (p = 0,001) and the relationship between employees (p = 0,000) with job satisfaction. But there is no relationship promotion with job satisfaction (p = 0,208). The conclusion of the study there are significant relationship between work, compensation, supervision and the relationship between employees with job satisfaction.

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Hearing healthcare gaps in LMICS: snapshot from a semi-urban community in Nigeria

African Health Sciences ◽

10.4314/ahs.v21i2.53 ◽

2021 ◽

Vol 21 (2) ◽

pp. 912-918

Author(s):

Adebolajo Adeyemo ◽

Segun Ogunkeyede ◽

Oluyinka Dania

Keyword(s):

Hearing Loss ◽

Urban Communities ◽

Healthcare Delivery ◽

Sampling Technique ◽

Healthcare Services ◽

Cross Sectional Study ◽

Traditional Healers ◽

Medical Intervention ◽

Cross Sectional ◽

Ear Diseases

Background: Low and middle-income countries (LMICs) have high prevalence of hearing loss which are mainly due to pre- ventable causes. While urban communities in LMICs are likely to have functional hearing healthcare delivery infrastructure, rural and semi-urban communities may have different reality. Objectives: This study aimed to provide: (i) a snapshot of the burden of ear diseases and (ii) a description of available hearing healthcare resources in a semi-urban Nigerian community. Methods: A cross-sectional study of households selected by multistage random sampling technique. Seventy-four partici- pants: 39 males and 35 females with mean age of 34 years ± 5.24 were recruited and answered a structured questionnaire. In addition, the availability of hearing healthcare services in 15 health centers within the community were determined. Results: All participants reported recent occurrence of ear complaints or gave similar history in a household member. Com- mon complaints were ear discharge, ear pain and hearing loss. Medical intervention was sought from patent medicine stores, hospitals and traditional healers. None of the assessed hospitals within the study site was manned by an ENT surgeon or ENT trained nurse. Conclusion: Despite the heavy burden of ear complaints there is inadequate hearing healthcare delivery in a typical LMIC community. This highlights the need for urgent improvement of hearing healthcare. Keywords: Hearing loss; healthcare delivery; disease burden; ear diseases; developing countries.

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