Profile of anxiolytic consumption by patients seen in a basic pharmacy

Introduction: Mental disorders are more and more frequent. In Brazil, primary care makes possible the population's first encounter with mental care, having medicines as one of the main therapeutic applied resources, which are made available in different ways, including the municipal primary pharmacy. Psychotropic drugs, such as anxiolytics, act on these mental disorders, improving the quality of life and providing freedom to the individual, however, their use irrationally and for a prolonged period of time causes harm to those who use them. Objective: To know the aspects surrounding the consumption of anxiolytic drugs, as well as to identify individual and collective characteristics of the participants that lead to their use. Methodology: Cross-sectional descriptive research with a quali-quantitative approach, carried out with prescriptions that contained anxiolytics and questionnaires answered by patients treated at the basic pharmacy in the city of Flores - PE. Results: The female gender, age group over 41 years, low education, presence of children and marriage were related to the increase in the use of anxiolytics, in addition, the emergence of effects caused by treatment abandonment, interactions regarding the use of plants or more of a drug with anxiolytics and the errors of gifts in prescriptions had high rates. Conclusion: The delineation of the profile of individuals who use anxiolytics as therapy provides the creation of policies at specific groups in order to reduce the therapy with them, in addition, knowledge of the main errors in prescriptions and the presence of interactions ensures a better treatment success.

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Quality of Life of Healthcare Workers Suffering from Occupational Contact Dermatitis

Recent Advances in Inflammation & Allergy Drug Discovery ◽

10.2174/1872213x14666210303155135 ◽

2021 ◽

Vol 15 ◽

Author(s):

Amira Omrane ◽

Asma Khedher ◽

Chayma Harrathi ◽

Maher Maoua ◽

Taoufik Khalfallah ◽

...

Keyword(s):

Quality Of Life ◽

Contact Dermatitis ◽

Healthcare Workers ◽

Female Gender ◽

Public Hospitals ◽

Healthcare Personnel ◽

Related Factors ◽

Cross Sectional ◽

Occupational Contact Dermatitis

Background: Healthcare workers are at a high risk of developing Occupational Dermatitis (OD). Affected workers often experience severe impairment of their Quality of Life (QoL). This study aimed to assess the skin-related QoL of healthcare workers with OD and to explore its related factors. Methods: A cross-sectional and exhaustive study was conducted among healthcare personnel of four public hospitals in the central region of Tunisia. All the cases of OD declared were included. Skin-related QoL was assessed using the validated Tunisian version of the “Dermatology Life Quality Index” (DLQI). Some related patents were discussed. Results: A total of 37 cases of OD were collected with an annual incidence of 4.2 cases per 10000 workers. The population was predominantly female (73%) and mean aged 44.7±9.4 years. Nurses were the most represented occupational category (38%). Allergic contact dermatitis was the most frequent diagnosis (96%). Use of gloves was the most frequently reported occupational hazard (86%). The most frequently affected sites were hands (97%). The median score of DLQI was five. Multivariate analysis showed an association between the impairment of skin-related QoL and female gender (p = 0.04; OR = 19.3,84), exposure to disinfecting chemicals in the workplace (p = 0.01; OR = 17,306) and the absence of occupational reclassification (p = 0.01; OR = 21,567). Conclusion: About one third of the population had an impaired quality of life. The score impairment was significantly related to female gender, exposure to disinfecting chemicals and the absence of occupational reclassification.

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Abstract P546: Sleep Quality in Medical Students A Cross-sectional Study

Hypertension ◽

10.1161/hyp.70.suppl_1.p546 ◽

2017 ◽

Vol 70 (suppl_1) ◽

Author(s):

Lilian S Costa ◽

Marina C Marins ◽

Jocasta C Ansel ◽

Carolina P Tavares ◽

Fernanda T Queiroz ◽

...

Keyword(s):

Quality Of Life ◽

Medical Students ◽

Female Gender ◽

Cross Sectional Study ◽

Female Group ◽

Sleep Habits ◽

Cross Sectional ◽

Significant Difference ◽

The Hours

Introduction: Medical students, susceptible to sleep disorders, have irregular sleep-awake cycle, with repercussions on the quality of life and reduced academic performance, often with greater incidence of psychiatric disorders, estimated at 15% to 25% during your academic training. Objective: To evaluate the sleep habits in students of medical school in a private college of Rio de Janeiro, Brazil. Method: This subset study is a part of an observational study with cross-sectional delineation, with data collected through the application of an anonymous questionnaire, where they were asked about the number (and modification) of hours they sleep daily, in addition to reports of “stress and anxiety”. These data collected formed the basis of an instrument for assessing the quality of life on the medical students of this College. Results: We analyzed data from 481 students: 82 (17%) at the first year, 118 (24.5%) at the second year, 99 (20.6%) at the third, 64 (13.3%) and 118 (24.5%) within the fifth and sixth years. The average age was 21.7 years (16-42) and 306 (63.6%) of female gender. As for the hours of sleep, 445 students (92.5%) report 5 to 8 hours of sleep, and 216 (44.9%) a minimum of 6 hours. In the sleep of the weekends, 394 (81.9%) reported change in the number of hours and, 313 (65.1%) referred to a reduction after the entrance into college. It was reported "some level of stress and anxiety,“ not related to the least number of hours sleepping (0.07). Comparing the data obtained among the 199 students of the first and second years (62.8% female-group A) to 117 at fifth and sixth years (70.9% female-group B), we observed similarity in relation to (1) number of 5 to 8 hours sleepping (A 92.9% x 90.5% B), (2) change the hours of sleepping on the weekends (A 81.9% x 79.5% B), and (3) reduction of sleepping hours after the entrance into College (A 81.9% x 78.6% B). With regard to the report of "stress and anxiety”, we observed statistically significant difference between the groups (A 100% x 88% B, p < 0.03). Conclusion: The change in lifestyle imposed on joining a new school learning model, generates anxiety and loss of sleep hours among students. The development of resilience and adaptation to change, both individual and institutional, may have been responsible to varying degrees of stress.

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HUBUNGAN DUKUNGAN KELUARGA DENGAN KUALITAS HIDUP ORANG DENGAN GANGGUAN JIWA

Jurnal Ilmu Keperawatan Jiwa ◽

10.32584/jikj.v1i2.151 ◽

2018 ◽

Vol 1 (2) ◽

pp. 87

Author(s):

Kadek Putra Sanchaya ◽

Ni Made Dian Sulistiowati ◽

Ni Putu Emy Darma Yanti

Keyword(s):

Quality Of Life ◽

Mental Disorders ◽

Family Support ◽

Quantitative Research ◽

Sampling Technique ◽

Rank Test ◽

Cross Sectional ◽

Respondent Characteristics ◽

The Relationship

THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND THE QUALITY OF LIFE OF PEOPLE WITH MENTAL DISORDERS ABSTRACTMental disorder is one of the most serious health problems. Families have to spend more time to provide care to People with Mental Disorders at home. People with Mental Disorders (ODGJ) usually have problems with quality of life. The study aimed to determine the relationship between family support and the quality of life of People with Mental Disorders / ODGJ. This research is a quantitative research by using cross-sectional design with correlative analytic method. The sample of the research were 39 people selected by non probability sampling technique of purposive sampling. Data collection of respondent characteristics was conducted by using questionnaire of respondent characteristics. The level of family support was assessed by using family support questionnaires proposed by Friedman and the quality of life of the respondents was measured using the SQLS questionnaires. The findings showed that good and moderate family supports have the same percentage of 35.9%, while the results of the quality of life score showed that the majority of respondents had good quality of life (82.1%). Based on the analysis by using Spearman-Rank test, there is a significant correlation between family support and quality of life of respondents with p = 0,000 (p <0,05) and strong correlation value of 0.618 and positive correlation direction which means if family support increases then the quality of life of respondents will increase and vice versa. The future researchers are expected to exercise control over other factors that may affect the quality of life of People with Mental Disorders (ODGJ).

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Factors associated with common mental disorder in school teenagers

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2019-0847 ◽

2020 ◽

Vol 73 (suppl 1) ◽

Author(s):

Deise da Silva Monteiro ◽

Ridalva Dias Martins ◽

Nadirlene Pereira Gomes ◽

Rosana Santos Mota ◽

Marimeire Morais da Conceição ◽

...

Keyword(s):

Mental Disorders ◽

Protective Factor ◽

Common Mental Disorders ◽

Common Mental Disorder ◽

Statistical Significance ◽

Positive Association ◽

Female Gender ◽

Cross Sectional Study ◽

Cross Sectional ◽

Black Race

ABSTRACT Objective: To identify the prevalence of common mental disorders and associated factors in school adolescents. Method: Cross-sectional study with 230 adolescents from a public school in Salvador, Bahia, Brazil. We used a questionnaire and an assessment scale for common mental disorders. The data were processed in STATA, version 12. Results: The prevalence of common mental disorders in schoolchildren was 52.2%. Multivariate analysis identified a positive association with statistical significance between the condition and the variables:female gender (PR = 3.06; 95% CI: 1.77-5.4), black race (PR = 2.08; 95% CI: 1.04-4.16),having a boyfriend (PR = 2.07; 95% CI: 1.06-4.03) and smoking cigarettes once in a lifetime (PR = 2.88; 95% CI : 1.31 - 6.31). The school increase (OR = 0.52; 95% CI: 0.29-0.91) was identified as a protective factor. Conclusion: Female gender, black race, having a relationship, and having smoked cigarettes are factors that increase the chances of adolescents having common mental disorders.

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Suicidal ideation among medical students, burnout or depression? Maybe both.

Revista Brasileira de Educação e Saúde ◽

10.18378/rebes.v11i1.8530 ◽

2021 ◽

Vol 11 (1) ◽

pp. 69-77

Author(s):

THAÍS CAMPELO BEDÊ VALE ◽

LÍVIA RODRIGUES DE ARAÚJO ◽

VITÓRIA NUNES MEDEIROS ◽

JOSÉ HÍCARO HELLANO GONÇALVES LIMA PAIVA ◽

TATIANA PASCHOALETTE RODRIGUES BACHUR ◽

...

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Medical Students ◽

Suicidal Ideation ◽

Emotional Support ◽

Female Gender ◽

Sleep Time ◽

Mental Condition ◽

Cross Sectional

Depression is a common mental condition worldwide and a major cause of debility, with the potential to impair the quality of life of affected people. Medical students are more likely to develop psychiatric disorders, with depression, anxiety, and burnout being the most common ones. The aim of this study was to investigate the prevalence of depressive symptoms in medical students and their association with burnout and aspects of life. This is an analytical cross-sectional study. Data collection was performed using four validated scales and a questionnaire in 511 medical students from the first to the fourth year from different universities. Depression was present in 49% of the students. A correlation was found between depression and female gender. Regarding the students' daily sleep time, 54.5% of the students slept only 3 to 6 hours per night. The use of psychoactive substances was reported by 29.9%. Regarding the emotional support offered by universities, about 92.8% of students with depressive symptoms reported not receiving adequate emotional support. As for quality of life, all domains were impaired among students with depression. According to the two-dimensional criterion, 37% of the students have burnout, with correlation between the presence of the syndrome and depressive symptoms. In addition, burnout proved to be an independent risk factor for suicidal ideation and self-mutilation. New methods that can help detect and address factors that trigger stress and depressive symptoms in medical students are needed to reduce the incidence of depression.

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Changes in Burnout Among Oncology Physician Assistants Between 2015 and 2019

JCO Oncology Practice ◽

10.1200/op.21.00051 ◽

2021 ◽

pp. OP.21.00051

Author(s):

Eric D. Tetzlaff ◽

Heather M. Hylton ◽

Karen J. Ruth ◽

Zachary Hasse ◽

Michael J. Hall

Keyword(s):

Maslach Burnout Inventory ◽

Physician Assistants ◽

Cross Sectional ◽

Hours Worked ◽

Factors Associated ◽

Patients With Cancer ◽

Professional Characteristics ◽

Cross Sectional Design ◽

The Individual

PURPOSE Burnout has significant implications for the individual provider, the oncology workforce, and the quality of care for patients with cancer. The primary aim of this study was to explore temporal changes in burnout among physician assistants (PAs) in oncology in 2019 compared with 2015. METHODS Oncology PAs were surveyed to assess for burnout using the Maslach Burnout Inventory according to the same cross-sectional design of the study performed in 2015. Comparison between oncology PAs in 2015 and 2019 in the prevalence of burnout and personal and professional characteristics was performed. RESULTS Two hundred thirty-four participants completed the full-length survey. The participants in 2015 and 2019 were similar in age (41.8 v 40.3 years), sex (88.8% v 86.3% female), number of years as a PA in oncology (9.6 v 10), and percentage involved in academic practice (55.2% v 59.2%). There was a significant increase in burnout in 2019 compared with 2015 with 48.7% of PAs reporting at least one symptom of burnout compared with 34.8% (odds ratio for burnout, 2019 v 2015 = 1.92 [95% CI, 1.40 to 2.65], P < 0.001). The odds of burnout remained higher in 2019 compared with 2015 when adjusted for age, sex, relationship status, practice setting, subspecialty, practice type, and hours worked. Factors associated with burnout in both 2015 and 2019 include the percentage of time spent on patient care, collaborative physician relationship, number of hours worked, and satisfaction with compensation. No new factors associated with burnout emerged in 2019 that were not identified in 2015. CONCLUSION The rate of burnout of oncology PAs has significantly increased. Burnout in oncology PAs is multifactorial, and the increase cannot be easily explained. Additional research is needed to better define the drivers of PA burnout.

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Relationship between dental fluorosis and quality of life: a population based study

Brazilian Oral Research ◽

10.1590/s1806-83242005000200014 ◽

2005 ◽

Vol 19 (2) ◽

pp. 150-155 ◽

Cited By ~ 23

Author(s):

Edgard Michel-Crosato ◽

Maria Gabriela Haye Biazevic ◽

Edgard Crosato

Keyword(s):

Quality Of Life ◽

Water Supply ◽

Dental Fluorosis ◽

Female Gender ◽

Population Based ◽

Daily Activities ◽

Cross Sectional ◽

Significance Level ◽

The Impact

The aim of this study was to verify the prevalence of dental fluorosis in schoolchildren aged 6 to 15 and its possible association with the impacts on their daily activities. This study is observational, cross-sectional and analytical. A total of 513 schoolchildren from the city of Pinheiro Preto, SC, took part in this study. The children were examined by three calibrated dentists, after obtaining a kappa > 0.80. To assess the prevalence of fluorosis, clinical examinations were performed according to the methodology set forth by the 4th edition of the WHO. To assess the impact of fluorosis on their daily activities, a modified OIDP (Oral Impacts on Daily Performance) was adopted. The statistical analysis used was the Chi-squared test with a 5% significance level. Of the total number of children examined, 262 (51.1%) were of the female gender and 251 (48.9%) were of the male gender. In regard to the prevalence of fluorosis, 94 (18.3%) of the children presented this condition, while 419 children (81.7%) presented a normal condition. In regard to the severity of fluorosis, few children presented severe alterations. No association was found between dental fluorosis and gender (p = 0.646), between fluorosis and socioeconomic status (p = 0.848) or between fluorosis and access to public water supply system (p = 0.198). The activities that most affected children's daily performance were: oral hygiene (40.9%) and food intake or enjoying food (40.4%). None of the daily activities could be associated with the occurrence of dental fluorosis. The prevalence of dental fluorosis was consonant with the standards found for locations with optimum fluoride content in the water supply. The questionable and very slight levels of fluorosis were the most frequently found, without influence in the quality of life of the schoolchildren participating in the study.

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Evaluating the Service Quality of the Hotel Establishments in Sports Tourism With Regard to the Athletes

Higher Education Studies ◽

10.5539/hes.v8n2p29 ◽

2018 ◽

Vol 8 (2) ◽

pp. 29

Author(s):

Hasan Osmanoglu ◽

Hanifi Üzüm

Keyword(s):

Service Quality ◽

Pearson Correlation ◽

Team Sports ◽

Sport Tourism ◽

Cross Sectional ◽

Quality Perception ◽

The Individual ◽

Sport Facilities ◽

Individual Sports

The purpose of this study was to evaluate the service quality of the hotels which are provided sport tourism by athletes according to some variables.The research was conducted with cross-sectional research method as one of the general survey models and relational screening model. Target group of the study also constituted the sample group. This sample was formed of 389 athletes in total as 247 males and 142 females from team sports in Turkish Football, Volleyball, Basketball leagues in years 2016-2017 and individual sports.“Sport Tourism Service Quality Scale” (STSQS) developed by Osmanoğlu et al. (2017) was employed as data collecting tool in this study. The scale was formed of 28 items and 5 sub-dimensions as “Sport facilities, α=0.96”, “Staff, α=0.82”, “Entertainment, α=0.90”, “Hygiene, α=0.85” and “Room quality, α=0.80”. The data was analysed by applying one-way analysis of variance (ANOVA), Tukey’s Post-Hoc test and Pearson Correlation analysis. The level of significance for this study was decided as p<0.05.In conclusion with the study, service quality perception scores of the athletes were established to be high-level at room quality, hygiene and staff sub-dimensions and medium level at sport facilities and entertainment sub-dimensions. It was noted that service quality perception of the individual sports athletes is higher than the team sports athletes at staff and hygiene sub-dimensions (p<0.05). Regarding duration of stay, the mean of the ones that stay for 5 nights and above was observed to be significantly higher than the ones that stay one-two days and three-four days at sport facilities and staff sub-dimensions. Between the sport facilities, staff, hygiene and entertainment sub-dimensions of hotel classification and service quality, a significant distinction was seen in favor of the five star hotels (p<0,05).

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Specialty Physician Designation in Referrals from a Vertically Integrated PCMH

Health Services Research and Managerial Epidemiology ◽

10.1177/2333392819850389 ◽

2019 ◽

Vol 6 ◽

pp. 233339281985038

Author(s):

Andrew D. Schreiner ◽

Keri T. Holmes-Maybank ◽

Jingwen Zhang ◽

Justin Marsden ◽

Patrick D. Mauldin ◽

...

Keyword(s):

Medical Home ◽

Univariate Analysis ◽

Cross Sectional Study ◽

Individual Characteristics ◽

Patient Centered Medical Home ◽

Patient Centered ◽

Cross Sectional ◽

Medical Specialties ◽

The Individual

Introduction: Primary care referrals to specialty physicians once relied upon the medical skill of the specialist, the quality of past communication, and previous consultative experiences. As health systems vertically integrate, patterns of specialty physician referral designation are not known. Methods: This cross-sectional study from a patient-centered medical home (PCMH) evaluated the proportion of referrals with named specialists. All outpatient specialty referrals from the PCMH between July and December of 2014 were eligible for inclusion, and 410 patients were randomly selected for chart review. The outcome of interest was specialty physician designation. Other variables of interest included PCMH provider experience, the reason for referral, and time to specialty visit. Univariate analysis was performed with Fisher exact tests. Results: Of 410 specialty referrals, 43.7% were made to medical specialties, 41.7% to surgical specialties, and 14.6% to ancillary specialties. Resident physicians placed 224 referrals (54.6%), faculty physicians ordered 155 (37.8%), and advanced practice providers ordered 31 (7.6%). Only 11.2% of the specialty referral orders designated a specific physician. No differences appeared in the reason for referral, the referral destination, the proportion of visits scheduled and attended, or the time to schedule between those referrals with and without specialty physician designation. Faculty physicians identified a specific specialist in 21.4% of referrals compared to residents doing so in 4.9% ( P < .0001). Conclusion: Patient-centered medical home referrals named a specific specialty physician infrequently, suggesting a shift from the historical reliance on the individual characteristics of the specialist in the referral process.

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The individual and societal effects of non-psychotic serious mental disorders on earnings in Belgium

European Psychiatry ◽

10.1016/j.eurpsy.2008.12.006 ◽

2009 ◽

Vol 24 (4) ◽

pp. 207-213 ◽

Cited By ~ 2

Author(s):

Ronny Bruffaerts ◽

Anke Bonnewyn ◽

Koen Demyttenaere

Keyword(s):

General Population ◽

Mental Disorders ◽

Composite International Diagnostic Interview ◽

Diagnostic Interview ◽

Cross Sectional ◽

Alcohol Disorders ◽

Individual Level ◽

Considerable Impact ◽

The Individual ◽

Annual Earnings

AbstractPurposeThe purpose of this study is to examine the association between non-psychotic serious mental disorders and earnings in the general population of Belgium on both the individual- and society-level.Subjects and methodsData stem from a cross-sectional population study of the non-institutionalized adult (between 18 and 64) population from Belgium (N = 863). The third version of the Composite International Diagnostic Interview (CIDI-3.0) was administered to assess 12-month non-psychotic serious mental disorders and annual earnings. Multivariate approaches were used to estimate the observed and estimated annual earnings for persons with serious mental disorders, controlling for sociodemographic variables and alcohol disorders.ResultsOn the individual-level, 12-month serious mental disorders significantly predicted the probability of having any earnings (OR = 0.32; 95%CI = 0.14–0.74). Respondents with serious mental disorders had 12-month earnings of 5969€ less than expected in the absence of serious mental disorders. Taking into account the prevalence of serious mental disorders (i.e. 4.9%), the society-level effects of serious mental disorders in 2002 can be estimated at about 1797 million € per year for the Belgian general population.DiscussionNon-psychotic serious mental disorders had considerable impact on annual earnings.ConclusionThis is the first study in Belgium that addresses the association between mental illness and earnings. Serious mental disorders are associated with individual- and societal-level impairments and loss of human capital.

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