scholarly journals Prevalence and Mortality Incidence of Poisoning Cases in Serdang Hospital

2020 ◽  
Vol 13 ◽  
pp. 1-9
Author(s):  
Tan Hooi Leng
Keyword(s):  
Healthcare Providers ◽  
Opioid Analgesics ◽  
Training And Education ◽  
Poison Centre ◽  
Consecutive Sampling ◽  
Self Injury ◽  
Mortality Incidence ◽  
Using Data ◽  
Collection Form ◽  
Electronic Hospital

In Malaysia, there were more than 35,000 poisoning cases enquiries were reported to the poison centre since its establishment from the year 1995 to 2014. The objective of our study is to determine the prevalence of poisoning cases and antidote used in Serdang Hospital. All poisoning cases admitted to the Serdang Hospital between January 2007 to December 2016 were evaluated retrospectively by using consecutive sampling. Data were obtained from Electronic Hospital Information System (eHIS) by using data collection form. Descriptive statistic was used to analyse the data. 903 patients were included in our study. The prevalence of poisoning cases during the study period is 0.22%. The fatality rate was 1.8% (n=16). More detailed data reveals that young adults aged between 18 to 29 years old, 44.2% (n=399) has the preponderance of poisoning cases, and females, 59.7% (n=539) admission dominated over males. Most poisoning cases were intentional, 74.5% (n=673) and related to the use of non-opioid analgesics, 35.7% (n=322). In summary, these trends of poisonings provides a foundation to recognise areas for training and education on self-injury prevention among healthcare providers and public society.

scholarly journals The Value of the Oral Medicine Specialty in the Modern Healthcare Systems

2021 ◽  
pp. 1-8
Author(s):  
Mohammed Bindakhil ◽  
Scarlet Charmelo-Silva ◽  
Alhanouf A. Bin Dakhil ◽  
Ibrahim A. ALOmair
Keyword(s):  
Saudi Arabia ◽  
Oral Health ◽  
Medical Training ◽  
Positive Impact ◽  
Healthcare Providers ◽  
Healthcare Systems ◽  
Medical Community ◽  
Oral Diseases ◽  
Oral Medicine ◽  
Training And Education

<b><i>Background:</i></b> Oral medicine is a subdiscipline of dentistry that concerns itself with the oral health of patients; it focuses on providing diagnosis and management of oral and maxillofacial diseases, as well as direct dental care for those in medically complex situations. As primary healthcare providers, physicians and dentists are often the first to evaluate patients with orofacial symptoms and make diagnoses related to oral health, whether explicit or manifested through systemic diseases. However, a lack of familiarity with oral medicine among healthcare providers often leads to significant delays in the accurate diagnosis and appropriate treatment of many oral and maxillofacial disorders. It has been well established that a lack of training and education in oral health among physicians is an impediment to alleviating the situation. <b><i>Summary:</i></b> Several studies and scientific reports in the medical community have shown a greater professional interest in oral health and medicine, with numerous recent articles reflecting a clear rise in multiple factors: an increased interest in additional training and a rise in oral diseases. This review focuses on the need for a multidisciplinary approach in modern healthcare systems that implements the oral medicine specialty. It also serves to emphasize the role of oral medicine in medical training and education, while simultaneously discussing the prevalence of oral diseases and awareness of oral health among physicians in Saudi Arabia. <b><i>Key Messages:</i></b> The prevalence of oral health conditions in Saudi Arabia appears to be high yet is accompanied by a scarcity of oral medicine specialists in this part of the world. Furthermore, numerous studies have revealed that physicians from different specialties in Saudi Arabia lack training in oral health and possess an insufficient awareness of the oral medicine specialty. This paucity of oral medicine specialists in Saudi Arabia presents a key issue as the clinical services and medical education provided by such specialists in healthcare systems can have a profound positive impact on each patient’s quality of life and health outcomes, as well as the standards of physicians’ training.

scholarly journals Retrospective evaluation of unintentional poisoning involving psychiatric drugs in Malaysia: A study based on calls managed by national poison centre, 2016-2017

2019 ◽  
Vol 10 (SPL1) ◽  
Author(s):  
Nur Azzalia Kamaruzaman ◽  
Adilah Mohamed Ariff ◽  
Noor Afiza Md Rani ◽  
Mohd Fadhli Razali ◽  
Mazlin Mohideen ◽  
...  
Keyword(s):  
Psychiatric Patients ◽  
Healthcare Providers ◽  
Information Service ◽  
Pharmaceutical Products ◽  
World Health ◽  
Case Report Form ◽  
Equal Distribution ◽  
Poison Centre ◽  
National Poison ◽  
Psychiatric Drugs

Data from the National Poison Centre (NPC) showed that the highest number of poisoning incidents in Malaysia were caused by pharmaceutical products, whereby psychiatric drugs contributed to the most number of cases. While intentional poisoning receives more attention, unintentional poisoning is often overlooked. Therefore, the study designs to evaluate the unintentional poisoning of psychiatric drugs in Malaysia. Telephone enquiries regarding psychiatric drug poisoning were made by healthcare providers to the NPC. Information received was entered into a retrievable database by Drugs and Poison Information Service in the form of a standardized Poison Case Report Form as adapted from the World Health Organization. A retrospective analysis was performed, and data on unintentional poisoning were extracted and evaluated. A total of 619 poisoning cases of psychiatric drugs were reported, whereby 28% (n=133) were caused unintentionally. Demographic analysis showed Perak to record the highest number of cases at 16.5% (n=22), followed by Johor (13.5%, n=18) and Sabah (12.8%, n=17). Unintentional psychiatric poisoning showed almost equal distribution between genders, and Malays reported the highest number at 47.4% (n=63). More than half of the cases (58.6%) occurred among toddlers between 1-4 years old, followed by 17.3% cases among children and adolescents between 5-14 years old. Most of the incidents (99.2%) happened at home, and 88% were due to accidental ingestions. Unintentional poisoning in the household of psychiatric patients has been underestimated, and toddlers and children have been majorly implicated. Therefore, proper education and awareness must be established to ensure human safety.

scholarly journals Defining GP Practices from an Urban Versus Rural Perspective: The Case of Czechia

2020 ◽  
Author(s):  
Luděk Šídlo ◽  
Jan Bělobrádek
Keyword(s):  
Geographical Information Systems ◽  
Healthcare Providers ◽  
Geographical Information ◽  
Insurance Company ◽  
Intermediate Type ◽  
Structural Differences ◽  
Using Data ◽  
High Degree ◽  
Urban Versus ◽  
Degree Of Similarity

Abstract BackgroundThis study is an attempt to demonstrate the potential for classifying GP practices in Czechia along an urban versus rural dimension and to compare the structure of areas thus defined with the OECD territorial typology. The aim is to ascertain whether a general approach to distinguishing regions is transferrable and could be used to define GP practices in Czechia. MethodsIn this study two variants are considered using data supplied to the authors by the largest health insurance company in Czechia, using geographical information systems. The results were then compared with the OECD regional typology, in which areas are classified as predominantly urban, intermediate, and predominantly rural. ResultsThe two GP practice typologies were then found to correspond closely to the OECD typology, but the most recent variant is more suitable. A high degree of similarity was evident in the categorisation of urban regions, and therefore practices, and slightly less so in the rural type areas. The most problematic aspect is defining the intermediate type, which has its own peculiarities and has to be considered within the wider context. ConclusionsDespite some structural differences, we can state that the main thinking behind the OECD typology is transferrable and can be used to determine urban versus rural healthcare providers, especially primary care ones. Nonetheless, the results point to further research avenues, especially on how to best to define the intermediate category so greater accuracy can be achieved in determining the resulting urban versus rural polarity.

Inappropriate opioid prescribing practices: A narrative review

2019 ◽  
Vol 76 (16) ◽  
pp. 1231-1237 ◽  
Author(s):  
Brian Kim ◽  
Seonaid Nolan ◽  
Tara Beaulieu ◽  
Stephen Shalansky ◽  
Lianping Ti
Keyword(s):  
Literature Review ◽  
Data Extraction ◽  
Inappropriate Prescribing ◽  
Healthcare Providers ◽  
Opioid Analgesics ◽  
Drug Misuse ◽  
Patient Specific ◽  
Prescribing Practices ◽  
Prescription Drug Misuse ◽  
Opioid Prescribing

Abstract Purpose Results of a literature review to identify indicators of inappropriate opioid prescribing are presented. Summary While prescription opioids can be effective for the treatment of acute pain, inappropriate prescribing practices can increase the risk of opioid-related harms, including overdose and mortality. To date, little research has been conducted to determine how best to define inappropriate opioid prescribing. Five electronic databases were searched to identify studies (published from database inception to January 2017) that defined inappropriate opioid prescribing practices. Search terms varied slightly across databases but included opioid, analgesics, inappropriate prescribing, practice patterns, and prescription drug misuse. Gray literature and references of published literature reviews were manually searched to identify additional relevant articles. From among the 4,665 identified articles, 41 studies were selected for data extraction and analysis. Fourteen studies identified high-daily-dose opioid prescriptions, 14 studies identified coadministration of benzodiazepines and opioids, 10 studies identified inappropriate opioid prescribing in geriatric populations, 8 studies identified other patient-specific factors, 4 studies identified opioid prescribing for the wrong indication, and 4 studies identified factors such as initiation of long-acting opioids in opioid-naive patients as indicators of inappropriate opioid prescribing. Conclusion A literature review identified various indicators of inappropriate opioid prescribing, including the prescribing of high daily doses of opioids, concurrent benzodiazepine administration, and geriatric-related indicators. Given the significant contribution of inappropriate opioid prescribing to opioid-related harms, identification of these criteria is important to inform and improve opioid prescribing practices among healthcare providers.

Opioid use in the acute setting: A survey of providers at an academic medical center

2018 ◽  
Vol 14 (3) ◽  
pp. 203-210 ◽  
Author(s):  
Douglas R. Oyler, PharmD ◽  
Kristy S. Deep, MD ◽  
Phillip K. Chang, MD
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Healthcare Providers ◽  
High Risk Patient ◽  
Opioid Analgesics ◽  
Opioid Use ◽  
Cross Sectional ◽  
Academic Medical ◽  
Clinical Scenarios ◽  
Nonopioid Analgesics

Objective: To examine attitudes, beliefs, and influencing factors of inpatient healthcare providers regarding prescription of opioid analgesics.Design: Electronic cross-sectional survey.Setting: Academic medical center.Participants: Physicians, advanced practice providers, and pharmacists from a single academic medical center in the southeast United States.Main Outcome Measures: Respondents completed survey items addressing: (1) their practice demographics, (2) their opinions regarding overall use, safety, and efficacy of opioids compared to other analgesics, (3) specific clinical scenarios, (4) main pressures to prescribe opioids, and (5) confidence/comfort prescribing opioids or nonopioids in select situations.Results: The majority of the sample (n = 363) were physicians (60.4 percent), with 69.4 percent of physicians being attendings. Most respondents believed that opioids were overused at our institution (61.7 percent); nearly half thought opioids had similar efficacy to other analgesics (44.1 percent), and almost all believed opioids were more dangerous than other analgesics (88.1 percent). Many respondents indicated that they would modify a chronic regimen for a high-risk patient, and use of nonopioids in specific scenarios was high. However, this use was often in combination with opioids. Respondents identified patients (64 percent) and staff (43.1 percent) as the most significant sources of pressure to prescribe opioids during an admission; the most common sources of pressure to prescribe opioidson discharge were to facilitate discharge (44.8 percent) and to reduce follow-up requests, calls, or visits (36.3 percent). Resident physicians appear to experience more pressure to prescribe opioids than other providers. Managing pain in patients with substance use disorders and effectively using nonopioid analgesics were the most common educational needs identified by respondents.Conclusion: Most individuals believe opioid analgesics are overused in our specific setting, commonly to satisfy patient requests. In general, providers feel uncomfortable prescribing nonopioid analgesics to patients.

Pattern of acute food, drug, and chemical poisoning in Sari City, Northern Iran

2010 ◽  
Vol 29 (9) ◽  
pp. 731-738 ◽  
Author(s):  
Amirhossein Ahmadi ◽  
Nasrin Pakravan ◽  
Zeynab Ghazizadeh
Keyword(s):  
Young Adults ◽  
Treatment Guidelines ◽  
Healthcare Providers ◽  
Opioid Analgesics ◽  
Acute Poisoning ◽  
National Treatment ◽  
Northern Iran ◽  
Carbamate Insecticides ◽  
High Prevalence ◽  
Underlying Causes

This descriptive and retrospective study was conducted at the poisoning ward of Imam teaching hospital, Sari, Iran, with the aim of evaluating the pattern of poisoning. Hence, the medical profiles of 2057 patients, who were admitted, were carefully reviewed during the period from April 2006 to March 2008 for 2 years. During this period, 2057 cases, 53.9% female and 46.1% male, were admitted with the indication of acute poisoning. The greatest proportion of poisoning occurred between the ages of 18 and 29 years, with suicidal intentions. Most cases of poisoning were intentional (85%). The most common agents involved in acute poisoning were drugs (77.7%), especially sedatives/hypnotics such as benzodiazepines, followed by opioid analgesics. Organophosphate and carbamate insecticides were the third major agent that induced poisoning. Twenty-seven patients (1.3%) who were mostly females and young adults died. Death mostly occurred due to organophosphate and carbamate insecticides (19 cases) poisoning, followed by sedatives/hypnotics like benzodiazepines (3 cases). High prevalence of intentional overdose and mortality among young adults requires considerable attention and further studies to find out the underlying causes. In addition, strict rules must be followed regarding the sale of central nervous system drugs and pesticides, particularly organophosphate and carbamate insecticides. Establishing poison information centers in different parts of the country, preparing national treatment guidelines, training healthcare providers, and ensuring easy availability of the antidotes are also recommended.

scholarly journals Using a Bayesian Method to Assess Google, Twitter, and Wikipedia for ILI Surveillance

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Danielle Sharpe ◽  
Richard Hopkins ◽  
Robert L. Cook ◽  
Catherine W. Striley
Keyword(s):  
Seasonal Changes ◽  
Bayesian Method ◽  
Influenza Season ◽  
Healthcare Providers ◽  
High Sensitivity ◽  
Change Points ◽  
Influenza Surveillance ◽  
Web Based ◽  
Using Data ◽  
The Web

ObjectiveTo comparatively analyze Google, Twitter, and Wikipedia byevaluating how well change points detected in each web-based sourcecorrespond to change points detected in CDC ILI data.IntroductionTraditional influenza surveillance relies on reports of influenza-like illness (ILI) by healthcare providers, capturing individualswho seek medical care and missing those who may search, post,and tweet about their illnesses instead. Existing research has shownsome promise of using data from Google, Twitter, and Wikipediafor influenza surveillance, but with conflicting findings, studies haveonly evaluated these web-based sources individually or dually withoutcomparing all three of them1-5. A comparative analysis of all threeweb-based sources is needed to know which of the web-based sourcesperforms best in order to be considered to complement traditionalmethods.MethodsWe collected publicly available, de-identified data from the CDCILINet system, Google Flu Trends, HealthTweets.org, and Wikipediafor the 2012-2015 influenza seasons. Bayesian change point analysiswas the method used to detect change points, or seasonal changes,in each of the web-data sources for comparison to change pointsin CDC ILI data. All analyses was conducted using the R package‘bcp’ v4.0.0 in RStudio v0.99.484. Sensitivity and positive predictivevalues (PPV) were then calculated.ResultsDuring the 2012-2015 influenza seasons, a high sensitivity of 92%was found for Google, while the PPV for Google was 85%. A lowsensitivity of 50% was found for Twitter; a low PPV of 43% wasfound for Twitter also. Wikipedia had the lowest sensitivity of 33%and lowest PPV of 40%.ConclusionsGoogle had the best combination of sensitivity and PPV indetecting change points that corresponded with change points found inCDC data. Overall, change points in Google, Twitter, and Wikipediadata occasionally aligned well with change points captured in CDCILI data, yet these sources did not detect all changes in CDC data,which could indicate limitations of the web-based data or signify thatthe Bayesian method is not adequately sensitive. These three web-based sources need to be further studied and compared using otherstatistical methods before being incorporated as surveillance data tocomplement traditional systems.Figure 1. Detection of change points, 2012-2013 influenza seasonFigure 2. Detection of change points, 2013-2014 influenza seasonFigure 3. Detection of change points, 2014-2015 influenza season

scholarly journals Defining GP Practices from an Urban Versus Rural Perspective: The Case of Czechia

2021 ◽  
Author(s):  
Luděk Šídlo ◽  
Jan Bělobrádek
Keyword(s):  
Geographical Information Systems ◽  
Healthcare Providers ◽  
Geographical Information ◽  
Insurance Company ◽  
Intermediate Type ◽  
Structural Differences ◽  
Using Data ◽  
High Degree ◽  
Urban Versus ◽  
Degree Of Similarity

Abstract Background: This study is an attempt to demonstrate the potential for classifying GP practices in Czechia along an urban versus rural dimension and to compare the structure of areas thus defined with the OECD territorial typology. The aim is to ascertain whether a general approach to distinguishing regions is transferrable and could be used to define GP practices in Czechia. Methods: In this study two variants are considered using data supplied to the authors by the largest health insurance company in Czechia, using geographical information systems. The results were then compared with the OECD regional typology, in which areas are classified as predominantly urban, intermediate, and predominantly rural. Results: The two GP practice typologies were then found to correspond closely to the OECD typology, but the most recent variant is more suitable. A high degree of similarity was evident in the categorisation of urban regions, and therefore practices, and slightly less so in the rural type areas. The most problematic aspect is defining the intermediate type, which has its own peculiarities and has to be considered within the wider context. Conclusions: Despite some structural differences, we can state that the main thinking behind the OECD typology is transferrable and can be used to determine urban versus rural healthcare providers, especially primary care ones. Nonetheless, the results point to further research avenues, especially on how to best to define the intermediate category so greater accuracy can be achieved in determining the resulting urban versus rural polarity.

scholarly journals Behavioral Health Provider Attitudes Toward Behavioral Health Profiles in the U.S. Army

2021 ◽  
Author(s):  
Justin M Curley ◽  
Kristina M Clarke-Walper ◽  
Katie L Nugent ◽  
Joshua E Wilk
Keyword(s):  
Decision Making ◽  
Therapeutic Alliance ◽  
Behavioral Health ◽  
Healthcare Providers ◽  
Treatment Utilization ◽  
Positive Trend ◽  
Provider Attitudes ◽  
Institutional Review ◽  
Using Data ◽  
The Individual

ABSTRACT Introduction U.S. Army healthcare providers’ use of profiles to document and communicate behavioral health (BH) condition limitations to commanders is vital to understanding both the individual soldier’s BH readiness for missions and, as an aggregate, the unit’s overall BH readiness status. Quantitative work exploring the link between soldier attitudes toward BH profiles and treatment utilization found that profiles may actually promote increases in treatment-seeking behavior in those receiving conventional BH services. BH provider attitudes on the subject, however, have not been quantitatively explored. Using data from the recently described Behavioral Health Readiness and Decision-Making Instrument (B-REDI) study, the current inquiry addresses this by examining BH providers’ pre-/post-B-REDI attitudes toward BH profiles, including therapeutic alliance, to better understand how BH profiles may impact BH treatment. Methods This study was approved by the WRAIR Institutional Review Board and is part of the larger B-REDI study. BH providers (n = 307) across five installations supporting active duty U.S. Army Divisions completed surveys longitudinally across three time points from September 2018 to March 2019. The survey specific to this study included five items, developed by WRAIR, assessing BH provider attitudes toward BH profiles. Of the providers who completed the survey, 250 (81%) consented to participate in the study and 149 (60%) completed the 3-month follow-up survey. Results Over 80% of BH providers expressed agreement with each of three items assessing rationale for issuing BH profiles in both the pre- and post B-REDI period. Specifically, most providers agreed that profiles facilitate commander support to the soldier, afford soldiers resources for recovery, and give commanders increased understanding of soldier health for mission planning. Twenty-six percent of BH providers agreed, 46% were neutral, and 28% disagreed on whether profile impact on the soldier was positive or not in the pre-B-REDI period, but there was a significant positive trend relative to baseline in the post B-REDI period. The vast majority of providers (≥94%) did not endorse agreement that BH profiles negatively impact therapeutic alliance in either the pre- or post-B-REDI period. Conclusions Assuming that therapeutic alliance and perceptions of BH profile impact on soldiers are useful proxy measures of how treatment utilization may be affected by profiling, this inquiry fails to establish any meaningful negative association between them. This may provide some additional reassurance to BH providers and policymakers that efforts to improve readiness decision-making, such as B-REDI, and increased profiling in conventional military BH settings may not negatively impact treatment utilization rates.

scholarly journals Determination of Nurses’ Attitudes and Beliefs on Sexual Care Towards Urology Patients

2021 ◽  
pp. 60-67
Author(s):  
Aliye Okgün Alcan ◽  
Serpil Çetin ◽  
Ezgi Seyhan Ak ◽  
Yeliz Çulha ◽  
Ayfer Özbaş
Keyword(s):  
Nursing Education ◽  
Sexual Attitudes ◽  
Attitudes And Beliefs ◽  
Descriptive Research ◽  
Spare Time ◽  
The Mean ◽  
Belief Scale ◽  
Using Data ◽  
Collection Form

Objective: The aim of this descriptive research is to determine the attitudes and beliefs of urology nurses regarding sexual care. Material and Methods: The data of this study were collected via internet between May and August 2020. The sample of the study consisted of 118 nurses who voluntarily agreed to participate in the study, able to use internet and working in clinics which urology patients are cared for. The data of the study were collected using data collection form that consists questions regarding the sociodemographic characteristics of the nurses and Sexual Attitudes and Belief Scale. Number and percentage distribution, Kruskal-Wallis, MannWhitney U test, Spearman Correlation Analysis were used in the analysis of the data. Results: It was determined that the average age of the nurses was 32.61±6.73 (min:22, max:46) years. In this study, the mean score of the Sexual Attitudes and Beliefs Scale was determined as 40.86±8.57 (min:15 max:65). It was found that 79.7% (n:94) of the nurses did not spare time to discuss the sexual problems of their patients. It was found that the marital status of the nurses (U:190.00 p:0.010) and being educated about sexual care (U:1052.00 p:0.007) affected their sexual attitudes and beliefs. It was determined that the mean score of the nurses to feel themselves competent in providing counseling regarding sexual care to their patients was 4.25±2.39 (min:0, max:10) out of 10. It was determined that the mean score of the nurses for feeling comfortable while giving counseling to their patients regarding sexual care was 4.32±2.63 out of 10 (min:0 to max:10). Conclusion: In conclusion, it has been determined that urology nurses have a moderate obstacle in providing consultancy to patients about sexual care, and do not feel comfortable and comfortable. It is recommended to strengthen nursing education curricula on sexual health and care. Keywords: Urology; nurse; sexual care; attitude; belief

Sign in / Sign up

Export Citation Format

Share Document