scholarly journals INFORMED CONSENT;

2017 ◽  
Vol 24 (05) ◽  
pp. 772-777
Author(s):  
Ramesh Lal ◽  
Vikram Pal ◽  
Suneel Kumar Punjabi ◽  
Naveen Khawaja ◽  
Mehwish Shoro
Keyword(s):  
Informed Consent ◽  
Knowledge Score ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Policy Makers ◽  
Significance Level ◽  
Survey Form ◽  
Dental Practitioners ◽  
Written Form ◽  
Study Participants

Objectives: The objective of this study was to assess the knowledge andpractice of informed consent among dental practitioners in Hyderabad city, Pakistan. StudyDesign: Descriptive cross sectional survey. Setting: Liaquat University of Medical and HealthSciences, Isra University and Dental practitioners working at private Dental clinics in Hyderabadcity. Period: This study was conducted over period of six months from November 2015 toApril 2016. Material and Method: This study used self-administered structured questionnaire,consist of ten questions to assess the knowledge and practice of dental practitioners towardsinformed consent. Data was collected by visiting offices of the study participants at their workplace or through email and courier with prepaid envelope where needed. The participants weresent two reminders at the interval of fifteen days to return the filled survey form. The responseswere represented in form of percentages. The t-test was used to determine the associationbetween the knowledge and qualification, clinical experience, and age. A significance level ofp<0.05 was considered as statistically significant. Results: Our response rate was 86% (103).Majority of the dentist merely knows the meaning of informed consent and overall had poorknowledge (mean score 7.84 + 2.44). The analysis showed that years of clinical practice andqualification was statistically significant with mean knowledge score (p < 0.01). The verbal formof consent was most preferred method of obtaining informed consent that accounted for 82%of study participants. 89% of dentist obtained informed consent from parents when treatingtheir children. Conclusions: From this study, it can be concluded that vast majority of dentistare unaware of informed consent process and their basic requirement. Although majority ofdentist believe that informed consent play an important role in routine dental practice yet manyof them did not use written form of informed consent. Our results would help the educatorsand policy makers to develop educational instruction on bioethics with special emphasis oninformed consent.

scholarly journals Questionnaire based assessment of awareness about infection control practices regarding COVID-19 among health care workers

2021 ◽  
Author(s):  
Abhijeet K. Mane ◽  
Anuradha G. Tolpadi ◽  
Meera S. Modak ◽  
Ashok K. Verma ◽  
Ancy C. Achenkunju ◽  
...  
Keyword(s):  
Infection Control ◽  
Educational Interventions ◽  
Basic Knowledge ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Chi Square Test ◽  
Ancillary Staff ◽  
Study Participants

Background: Healthcare workers (HCWs) are at frontline of response of the current pandemic of the COVID-19. This exposes them to risk of infection due to insufficient knowledge and unhealthy practices. The aim of the study was to assess the knowledge of infection control practices among HCWs regarding COVID-19.Methods: A web-based cross-sectional survey was conducted between April 2020 and June 2020. A 21-questions survey was developed and distributed among study population. A total of 622 HCWs working in a dedicated COVID-19 hospital participated in this study. Descriptive statistics was applied to represent participant characteristics and Chi-square test was used to evaluate the level of association among variables with a significance level of <0.05.Results: Out of 622 participants, 443 (71.22%) were females and 179 (28.78%) were males. Majority of the participants were nurses 308 (49.5%) followed by resident doctors 152 (24.4%), faculty doctors 108 (17.3%) and ancillary staff 54 (8.6%). Most participants 424 (68.1%) were less than 30 years of age. The overall response to survey was satisfactory with average correct responses recorded at 70.9%. Faculty doctors and resident doctors scored maximum average of 73% marks.Conclusions: The study participants showed sufficient basic knowledge about infection control practices regarding COVID-19. It also highlights the importance of continued training and educational interventions which are required to battle the present pandemic situation.

scholarly journals Knowledge and Practice of Breast Self-Examination among Undergraduate Midwifery Students of the University for Development Studies, Ghana

2021 ◽  
pp. 26-37
Author(s):  
Ruth Nimota Nukpezah ◽  
Rita Lariba Alenyorige ◽  
Inusah Abdul-Wahab ◽  
Felicia Maltiba Asaana ◽  
Grace Adinga ◽  
...  
Keyword(s):  
Undergraduate Students ◽  
Knowledge Score ◽  
Development Studies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Breast Self Examination ◽  
Knowledge And Practice ◽  
The University ◽  
Study Participants ◽  
Self Examination

Background: Against the background of the worldwide harm caused by breast cancer, as well as the benefits of early detection through simple techniques such as breast self-examination, this study investigated the knowledge and practice of breast self-examination among, midwifery undergraduate students of the University for Development Studies, Tamale-Ghana. Methods: The study is an institutional-based descriptive cross-sectional survey conducted among second-year female students at the Midwifery Department of the University for Development Studies. The data was collected through a pre-tested structured paper based-questionnaire. The data were analyzed descriptively and presented in frequencies, percentages, tables and figure. Results: The study recruited 100 participants with an age range between 20 and 39 years with the majority within 20-24 years. The overall knowledge score was 73.0%, a majority of the participants indicated practising breast self-examination (81.0%), but with a low practice score of (49.0%). The study found significant associations between practices of breast self-examination, age (p= 0.022) and marital status (p=0.001) of study participants. Conclusion: The study found high knowledge of breast self-examination with the majority of study participants saying that they practise breast self-examination. However, the overall practices score of breast-self-examination was relatively low. Additional efforts by the directorate of health services at universities including our study setting are needed to increase knowledge and practices of breast self-examination among students, irrespective of their programme of study.

scholarly journals Awareness of COVID-19 among illiterate Population in Pakistan: A Cross-Sectional analysis

2021 ◽  
pp. 1-17
Author(s):  
Muhammad Salman ◽  
Zia Ul Mustafa ◽  
Noman Asif ◽  
Naureen Shehzadi ◽  
Tahir Mehmood Khan ◽  
...  
Keyword(s):  
Television News ◽  
Knowledge Score ◽  
Average Score ◽  
Attitude Score ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Awareness Campaigns ◽  
Preventive Practices ◽  
The Mean ◽  
Study Participants

Abstract Background: COVIID-19 outbreak has been accompanied by a massive infodemic. However, many vulnerable individuals such as illiterate or low-literate, older adults, and rural populations have limited access to health information. In this context, these individuals are more likely to have poor knowledge, attitudes, and preventive practices related to COVID-19. The current study was aimed to investigate COVID-19’s awareness of the illiterate population of Pakistanis. Methods: A cross-sectional survey was conducted among illiterate Pakistanis having age ≥ 18 years through a convenient sampling approach. The study participants were interviewed, face to face, by respecting the defined precautionary measures. All data were entered and analyzed using SPSS version 22. Results: The mean age of the study participants’ (N = 394) was 37.2±9.60 years, with the majority of males (80.7%). All participants were aware of the COVID-19 outbreak and television news channels (75.1%) were the primary source of information. The mean knowledge score was 5.33±1.88. About 27% of participants had good knowledge score (score ≥ 7) followed by moderate (score 4-6) and poor (score ≤ 3) knowledge in 41.6%, and 31.5% respondents, respectively. The attitude score was 4.42±1.22 with good (score ≥ 6), average (score 4-5), and poor attitude (score ≤ 3) in 19%, 66%, and 15% participants, respectively. The average practices-related score was 12.80±3.34, with the majority of participants having inadequate practices. Conclusion: COVID-19 knowledge, attitude, and preventive practices of the illiterate population in Pakistan are unsatisfactory. This study highlights the gaps in specific aspects of knowledge and practice that should be addressed through awareness campaigns targeting this specific population.

Risk Minimization Measures in Off-Label Drug Use: A Survey of Community Pharmacists in Malaysia

2020 ◽  
Vol 15 (3) ◽  
pp. 181-189
Author(s):  
Omotayo Fatokun
Keyword(s):  
Informed Consent ◽  
Drug Use ◽  
Perceived Risk ◽  
Adverse Drug Events ◽  
Community Pharmacists ◽  
Risk Minimization ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Off Label ◽  
Written Informed Consent

Background: While off-label drug use is common and sometimes necessary, it also presents considerable risks. Therefore, measures intended to prevent or reduce the potential exposure to off-label risks have been recommended. However, little is known about community pharmacists’ beliefs regarding these measures in Malaysia. Objectives: This study examined community pharmacists’ beliefs towards risk minimization measures in off-label drug use in Malaysia and assessed the relationship between perceived risk of off-label drug use and beliefs towards risk minimization measures. Methods: A cross-sectional survey was conducted among 154 pharmacists practicing in randomly selected community pharmacies in Kuala Lumpur and the State of Selangor, Malaysia. Results: The majority agreed or strongly agreed that adverse drug events from the off-label drug should be reported to the regulatory authority (90.9%) and the off-label drug should only be used when the benefit outweighs potential risks (88.3%). Less than half (48.1%) agreed or strongly agreed that written informed consent should be obtained before dispensing off-label drugs and a majority (63.7%) agreed or strongly agreed that the informed consent process will be burdensome to healthcare professionals. Beliefs towards risk minimization measures were significantly associated with perceived risk of off-label drug use regarding efficacy (p = 0. 033), safety (p = 0.001), adverse drug rection (p = 0.001) and medication errors (p = 0.002). Conclusion: The community pharmacists have positive beliefs towards most of the risk minimization measures. However, beliefs towards written informed consent requirements are not encouraging. Enhancing risk perception may help influence positive beliefs towards risk minimization measures.

scholarly journals Hand Hygiene Knowledge, Perception, and Practices among Domestic Visitors to the Prophet’s Mosque in Al Madinah City Amid the COVID-19 Pandemic: A Cross-Sectional Study

2021 ◽  
Vol 18 (2) ◽  
pp. 673
Author(s):  
Hashim A. Mahdi ◽  
Hamza M. Assaggaf ◽  
Mohammad Alfelali ◽  
Omar B. Ahmed ◽  
Radi Alsafi ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Graduate Education ◽  
Formal Education ◽  
Demographic Data ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional

This study aimed to assess hand hygiene knowledge, perception, and practices of visitors to the Prophet’s Mosque in Al Madinah City, Saudi Arabia. Using a self-administered electronic questionnaire, a cross-sectional survey was conducted among domestic residents, who visited the mosque between 31 July and 3 August 2020. Participants’ demographic data, hand hygiene knowledge, perception, and practices were collected. Four hundred participants aged 18–65 (median 36) years completed the survey, of which 215 (53.8%) were female. The visitors’ mean knowledge score about hand hygiene was 6.4 (± standard deviation (SD) 1.35) of total 12. Most participants (392, 98%) were aware of the role of hand hygiene in preventing Coronavirus Disease 2019 (COVID-19); nevertheless, 384 (96%) said hand hygiene lowers body immunity and 316 (79%) thought <60% alcohol is sufficient for hand disinfection. Males had a higher knowledge score than females (6.46 (±1.41) vs. 6.14 (±1.27), p = 0.02) and, visitors who had no formal education scored higher than those with post-graduate education (6.88 (±1.45) vs 5.73 (±1.12), p = 0.01). Washing hands with soap and water was the predominant method practiced after a meal (365, 91.7%), after toilet visit (354, 88.5%), after touching a surface (262, 65.7%), after waste disposal (332, 83.2%), and when hands were visibly dirty (357, 89.5%). Al Madinah visitors had moderate knowledge about hand hygiene, but demonstrated some knowledge gaps and negligence in practice that are crucial to curb the spread of COVID-19.

scholarly journals Knowledge, Attitudes, Behaviors of Women Related to Pregnancy, and Early Childhood Caries Prevention: A Cross-Sectional Pilot Study

2021 ◽  
Vol 12 ◽  
pp. 215013272110133
Author(s):  
Neel Shimpi ◽  
Ingrid Glurich ◽  
Catherine Maybury ◽  
Min Qi Wang ◽  
Kazumasa Hashimoto ◽  
...  
Keyword(s):  
Oral Health ◽  
Pilot Study ◽  
Health Education ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Maintenance ◽  
Significance Level ◽  
Study Results ◽  
And Behaviors

Objective Health education interventions during pregnancy can influence maternal oral health (OH), maternal OH-behaviors and children’s OH. Interventions that can be delivered at anytime and anywhere, for example mobile-health (mHealth) provides an opportunity to address challenges of health education and support activation of women in underserved and rural communities to modify their health behavior. This pilot study was undertaken as a part of a mHealth initiative to determine knowledge, attitudes, and behaviors related to pregnancy and ECC prevention among women attending obstetrics/gynecology (OB/GYN) practices at a large rurally-based clinic. Methods A cross-sectional survey study was voluntarily engaged by women (n = 191) aged 18 to 59 years attending OB/GYN visits, over a 3-week period from 12/2019 to 1/2020. Survey results were analyzed applying descriptive statistics, X2 and Fisher’s Exact tests. The significance level was set at P < .0001 for all analyses. Results Approximately half of respondents were between 18 and 29 years (53%), had a college degree (55%), and 100% reported cell phone use. Whereas 53% and 31%, respectively, indicated that they were “somewhat” or “very” sure of how to prevent ECC in their children, only 9% recognized evidence of early decay and 30% did not know the purpose of fluoride. Overall, only 27% of participants correctly answered the knowledge-based questions. Further, only 57% reported their provider explained things in a way that was easy to understand. Only 24% reported seeing a dentist during their current pregnancy. Conclusions Study results suggested potential gaps in knowledge and behaviors related to ECC prevention and provided baseline data to inform future interventions to improve ECC prevention practices. Notably, majority of participants used their cell phones for making medical/dental appointments and reported using their phones to look up health-related information. This demographic represents a potentially receptive target for mHealth approaches to improve understanding of oral health maintenance during pregnancy and ECC prevention.

The battle over employers’ demand for “more flexibility”

2016 ◽  
Vol 38 (6) ◽  
pp. 886-906 ◽  
Author(s):  
Erling Rasmussen ◽  
Barry Foster ◽  
Deirdre Farr
Keyword(s):  
New Zealand ◽  
Survey Design ◽  
Postal Questionnaire ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Policy Makers ◽  
Content Type ◽  
Employer Attitudes ◽  
Legislative Changes ◽  
Employment Legislation

Purpose The purpose of this paper is to place empirical research on New Zealand employers’ attitudes to collective bargaining and legislative change within the context of the long running debate of flexibility. Design/methodology/approach A cross-sectional survey design using a self-administered postal questionnaire, covering private sector employers with ten or more staff and including employers within all 17 standard industry classification. To explore particular issues, an additional in-depth interviews were conducted of 25 employers participating in the survey. Findings It is found that employers support overwhelmingly recent legislative changes though there are variations across industries and firm sizes. There is also considerable variation in terms of which legislative changes are applied in the workplace. Despite fewer constraints on employer-determined flexibility, there was a rather puzzling finding that most employers still think that employment legislation is even balanced or favouring employees. Originality/value Cross-sectional survey findings of New Zealand employer attitudes to legislative changes are few and provide valuable data for policy makers, unions, employers and employment relations researchers. The paper also contributes to a more comprehensive understanding of pressures to increase employer-determined flexibility in many western countries.

scholarly journals Prevalence of thinness, overweight and obesity among Tibetan adolescents aged 12-17 years

2021 ◽  
pp. 1-17
Author(s):  
Yunfei Zhang ◽  
Jiahong Sun ◽  
Min Zhao ◽  
Costan G. Magnussen ◽  
Xi Bo
Keyword(s):  
Sampling Method ◽  
Total Sample ◽  
Overweight And Obesity ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Clear Trend ◽  
Cross Sectional ◽  
Significant Difference ◽  
Prevalence Of Obesity ◽  
Study Participants

Abstract Objective: To estimate the prevalence of thinness, overweight and obesity among Tibetan adolescents aged 12-17 years. Design: Cross-sectional survey. Setting: Shigatse city of Tibet municipality, with an average altitude of more than 4000 m. Subjects: Study participants included 2,642 adolescents aged 12-17 years selected from 6 schools using a convenient cluster sampling method. Results: The prevalence of thinness/overweight/obesity among Tibetan adolescents was 9.4%/5.4%/1.4% (China definition), 14.7%/4.4%/0.7% (IOTF definition), and 2.8%/5.7%/0.9% (WHO definition). The prevalence of thinness and overweight was significantly different between both sexes based on each of three BMI classification criteria (P <0.001). There was no significant difference in the prevalence of obesity between both sexes according to each of three BMI criteria. There was no clear trend in the prevalence of thinness across ages according to the China or IOTF definition (both P >0.05), whereas an upward trend was observed for thinness in boys according to the IOTF definition (P for trend <0.05). In contrast, the prevalence of thinness tended to decrease with increasing age in girls according to the IOTF definition, and in total sample according to the WHO definition (P for trend <0.05). Conclusions: Among Tibetan adolescents, the prevalence of overweight and obesity is relatively low, while the prevalence of thinness is high, especially in boys. These data suggest urgent attention is needed to control adolescent thinness in Tibet.

Assessment of Knowledge and Practice of Fresh Dental Graduates, Dental Surgeons and Specialists of Multan about Different LA Techniques for Mandibular Teeth: A cross-sectional survey

2021 ◽  
Vol 15 (7) ◽  
pp. 1745-1748
Author(s):  
Zaid Bin Sohail ◽  
Muhammad Salman Chishty ◽  
M. Shairaz Sadiq ◽  
Farhan Riaz ◽  
Mehwish Munawar ◽  
...  
Keyword(s):  
Nerve Block ◽  
Dental Treatment ◽  
Inferior Alveolar Nerve ◽  
Mandibular Nerve ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Dental Procedures ◽  
Dental Practitioners

Objective: To assess the knowledge about different mandibular nerve block techniques of fresh dental graduates, dental surgeons and specialists to attain mandibular nerve block for dental treatment in Multan. Design of the Study: It was a cross-sectional survey. Study Settings: This study was carried out at Department of Dentistry at Multan Medical & Dental College, Nishtar Institute of dentistry (Nishtar Medical University) and Bakhtawer Amin Dental College from August 2019 to August 2020. Material and Methods: The study involved 220 respondents. The questionnaire was administered to fresh dental graduates (house officers) and dental surgeons in 3 dental colleges of Multan, and was collected on the same day. House officers who did not return the forms were reminded personally and contacted on the phone thrice over the following week. Results of the Study: The frequency of respondants who could administer Gow-Gates without supervison was 20.9% (n=46). Participants from NID, Multan had the highest frequency (35.3%) with the lowest in BIMDC (16.6%)and MMDC(20.6%). The differences were non-significant (p=0.19). Significantly higher frequency of male respondants (10%, n=22) claimed they could administer Gow-Gates without supervison compared to female respondants (5.4%, n=12, p=0.012, Chi-Square). Training for Gow-Gates had been received by 12.7% (n=28) of the House Officers and dental surgeons. The Highest frequency of training was in NID, Multan (5.4%, n= 12, p= 0.016, chi-square). Conclusion: The majority of the dental practitioners of Multan used IANB as their primary LA technique and intraligamental injections as a supplemental LA technique in their clinics to attain mandibular molars anesthesia for general dental procedures like fillings, root canals and extractions. Keywords: Mandibular local anesthesia, Inferior alveolar nerve block, Gow-Gates technique

Ethics knowledge of recent paediatric residency graduates: the role of residency ethics curricula

2016 ◽  
Vol 42 (12) ◽  
pp. 809-814 ◽  
Author(s):  
Jennifer C Kesselheim ◽  
Julie Najita ◽  
Debra Morley ◽  
Elizabeth Bair ◽  
Steven Joffe
Keyword(s):  
Decision Making ◽  
Knowledge Score ◽  
Educational Interventions ◽  
Cross Sectional Survey ◽  
Passage Rate ◽  
Cross Sectional ◽  
Formal Curriculum ◽  
Incorrect Decision ◽  
Primary Specialty ◽  
Residency Programme

ObjectiveTo evaluate the relationship between recently trained paediatricians' ethics knowledge and exposure to a formal ethics or professionalism curriculum during residency.MethodsWe conducted a cross-sectional survey of recently trained paediatricians which included a validated 23-item instrument called the Test of Residents' Ethics Knowledge for Pediatrics. The sample included paediatricians who completed medical school in 2006–2008, whose primary specialty was paediatrics or a paediatric subspecialty, and who completed paediatric residency training in 2010–2011. This sample was stratified based on residency programme variables: presence of a formal curriculum in ethics or professionalism, programme size and American Board of Pediatrics certifying exam passage rate. Paediatricians were randomly selected from each stratum for survey participation.ResultsAmong the 370 responding paediatricians (55%), the mean knowledge score was 17.3 (SD 2.2) out of a possible 23. Presence of a formal curriculum in ethics and/or professionalism was not significantly associated with knowledge. Knowledge was lowest on items about parental requests for a child to undergo genetic testing (2 items, 44% and 85% incorrect), preserving patient confidentiality over email (55% incorrect), decision-making regarding life-sustaining technologies (61% incorrect), and decision-making principles such as assent and parental permission (2 items, 47% and 49% incorrect).ConclusionsThis study highlights several areas in which paediatricians' knowledge may be low and that are amenable to targeted educational interventions. These findings should prompt discussion and research among ethicists and educators about how ethics and professionalism curricula can more consistently influence paediatricians' knowledge.

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