scholarly journals Patients’ Use and Perceptions of a Drug-Drug Interaction Database: A Survey of Janusmed Interactions

Pharmacy ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 23
Author(s):  
Hanna Justad ◽  
Ylva Askfors ◽  
Tero Shemeikka ◽  
Marine L. Andersson ◽  
Tora Hammar
Keyword(s):  
Drug Interaction ◽  
General Population ◽  
Healthcare Professionals ◽  
Response Rate ◽  
Personal Account ◽  
Web Based ◽  
The Public ◽  
Interaction Database ◽  
Survey Response Rate ◽  
High Health Literacy

Janusmed interactions is a drug-drug interactions (DDI) database available online for healthcare professionals (HCP) at all levels of the healthcare system including pharmacies. The database is aimed at HCP but is also open to the public for free, for those individuals who register for a personal account. The aim of this study was to investigate why and how patients use the database Janusmed interactions, how they perceive content and usability, and how they would react if they found an interaction. A web-based questionnaire was sent by email to all users who had registered for Janusmed interactions as a “patient” (n = 3219). A total of 406 patients completed the survey (response rate 12.6%). The study shows that there is an interest among patients to use a DDI database to check their own or a relative’s medication. The respondents found the database easy to use and perceive they understand the information aimed at HCP. Most patients stated they would talk to their HCP if they found an interaction and not adjust their treatment by themselves. However, the respondents in this study are actively searching for information and seem to have high health literacy. Thus, the findings are not generalizable for the general population.

scholarly journals Management of complex renal cysts in Canada: Results of a survey study

2020 ◽  
Author(s):  
Félix Couture ◽  
Antonio Finelli ◽  
Amélie Tétu ◽  
Bimal Bhindi ◽  
Rodney H. Breault ◽  
...  
Keyword(s):  
Active Surveillance ◽  
Practice Patterns ◽  
Response Rate ◽  
Renal Cysts ◽  
Survey Study ◽  
Management Option ◽  
Web Based ◽  
Survey Response Rate ◽  
Risk Of Malignancy ◽  
Mass Surveillance

Abstract Background Bosniak III and IV cysts have a high risk of malignancy and have traditionally been managed surgically. However, growing evidence suggests that many can be managed by active surveillance. The main objective of this study was to characterize the use of surveillance in the management of complex renal cysts. Methods A web-based survey was sent to all registered, active members of the Canadian Urological Association (N=583) in October 2018. Results The survey response rate was 24.7%. Management of Bosniak III cysts varied considerably. A large proportion of respondents (33.1%) offered active surveillance in >50% of cases. Only 13.7% of respondents reported never or rarely (<5% of cases) offering surveillance. In contrast, for Bosniak IV cysts, 60.1% of urologists never or rarely offered surveillance, while only 10.1% offer it in >50% of cases. A significantly greater proportion of academic urologists, compared to non-academic urologists, viewed surveillance as a management option for patients with a Bosniak III or IV cyst. The most commonly reported barriers to a greater adoption of surveillance were concerns regarding its oncologic safety, the lack of data to support surveillance in this population, and the lack of triggers for discontinuation of active surveillance and intervention. Conclusions Despite active surveillance being included as a management option in guidelines, many Canadian urologists are reluctant to offer surveillance to patients with Bosniak III or IV cysts. Practice patterns are heterogeneous among those offering surveillance. High-quality studies are required to better define the benefits and risks of cystic renal mass surveillance.

Opinions on Drug Interaction Sources in Anticancer Treatments and Parameters for an Oncology-Specific Database by Pharmacy Practitioners in Asia

2010 ◽  
Vol 3 ◽  
pp. HSI.S3679 ◽  
Author(s):  
◽  
Kevin Yi-Lwern Yap ◽  
Alexandre Chan ◽  
Keung Chui Wai
Keyword(s):  
Drug Interaction ◽  
Information Sources ◽  
Response Rate ◽  
Management Plan ◽  
Cross Sectional Survey ◽  
Efficient Manner ◽  
Cross Sectional ◽  
Interaction Database ◽  
Practice Characteristics ◽  
New Anticancer Drugs

Cancer patients undergoing chemotherapy are particularly susceptible to drug-drug interactions (DDIs). Practitioners should keep themselves updated with the most current DDI information, particularly involving new anticancer drugs (ACDs). Databases can be useful to obtain up-to-date DDI information in a timely and efficient manner. Our objective was to investigate the DDI information sources of pharmacy practitioners in Asia and their views on the usefulness of an oncology-specific database for ACD interactions. A qualitative, cross-sectional survey was done to collect information on the respondents' practice characteristics, sources of DDI information and parameters useful in an ACD interaction database. Response rate was 49%. Electronic databases (70%), drug interaction textbooks (69%) and drug compendia (64%) were most commonly used. Majority (93%) indicated that a database catering towards ACD interactions was useful. Essential parameters that should be included in the database were the mechanism and severity of the detected interaction, and the presence of a management plan (98% each). This study has improved our understanding on the usefulness of various DDI information sources for ACD interactions among pharmacy practitioners in Asia. An oncology-specific DDI database targeting ACD interactions is definitely attractive for clinical practice.

scholarly journals Implementation of the OSTRC Handball Injury Prevention Exercises in Professional Handball

2021 ◽  
Vol 21 (2) ◽  
pp. 136-141
Author(s):  
Wesam Saleh A. Al Attar ◽  
Nawaf Al Masoudi ◽  
Ali Al Zubeadi ◽  
Ahmed Qasem
Keyword(s):  
Injury Prevention ◽  
Response Rate ◽  
P Value ◽  
Web Based ◽  
Trauma Research ◽  
Gcc Countries ◽  
Survey Response Rate ◽  
Significant Difference ◽  
The Mean ◽  
Implementation Level

Purpose. The Oslo Sports Trauma Research Center (OSTRC) handball injury prevention exercise is an evidence-based injury prevention exercise designed to prevent handball injury. This study aimed to assess the implementation of the OSTRC handball injury prevention exercises among professional handball players in the Gulf Cooperation Council (GCC) countries. Materials and methods. A web-based survey to acquire information regarding the implementation of OSTRC handball injury prevention exercises was distributed to 267 professional handball players in six GCC countries.  Results. A total of 250 handball players from the GCC countries responded to the survey (response rate 93.6%). The mean (±SD (Standard Deviation)) of the total implementation score was 13 (±2.558), with no statistically significant difference between the GCC countries, with a P-value of 0.123. The highest mean score was shown from Bahrain at 13.60 (±2.614), while the lowest was from Qatar at 12.10 (±2.427). Conclusions. A low implementation level of the OSTRC handball prevention exercises among the handball players in the GCC countries was reported in the current study.

scholarly journals Stigma and treatment of eating disorders in Ireland: healthcare professionals’ knowledge and attitudes

2015 ◽  
Vol 33 (1) ◽  
pp. 21-31 ◽  
Author(s):  
F. McNicholas ◽  
C. O’Connor ◽  
L. O’Hara ◽  
N. McNamara
Keyword(s):  
Eating Disorders ◽  
Healthcare Professionals ◽  
Response Rate ◽  
Service Providers ◽  
Young Person ◽  
Web Based ◽  
Knowledge And Attitudes ◽  
Educational Programmes

ObjectivesThis study examines aspects of healthcare professionals’ knowledge and attitudes about eating disorders (EDs), which might impede the effective detection or treatment of EDs in Ireland.MethodsA total of 1,916 healthcare professionals were invited to participate in a web-based survey. Participants were randomly allocated to view one of five vignettes depicting a young person with symptoms consistent with anorexia nervosa, bulimia nervosa, binge-eating disorder, depression or type 1 diabetes. Study-specific questions examined participants’ responses to the vignettes and ED knowledge and experience.ResultsIn total, 171 clinicians responded (9% response rate). Participants had an average of 15.8 years of clinical experience (s.d.=9.2) and included psychiatrists, GPs, psychologists and counsellors. Although participants’ knowledge of EDs was moderately good overall, responses showed poor recognition of the symptoms of EDs compared with depression [χ2 (4, n=127)=20.17, p<0.001]. Participants viewed EDs as chronic disorders that primarily affected females. Participants believed that clinicians like working with patients with depression and diabetes more than with AN patients [F (4,101)=5.11, p=0.001]. Among the professionals surveyed, psychiatrists were the most knowledgeable about EDs [F (4,82)=9.18, p<0.001], and were more confident in their ability to diagnose and treat EDs than professionals of all other disciplines, except psychologists [F (4,85)=8.99, p<0.001]. Psychiatrists were also the most pessimistic about ED patients’ long-term life prospects [χ2 (4, n=65)=15.84, p=0.003].ConclusionsThis study recommends that specific attention should be given to EDs in professional educational programmes across healthcare disciplines. This training should not be restricted to improving healthcare professionals’ knowledge of EDs, but should also strive to increase service-providers’ awareness of how their own potentially stigmatising attitudes can undermine engagement with treatment.

Metabolism and Transport Drug Interaction Database: A Web-Based Research and Analysis Tool

2019 ◽  
pp. 567-580
Author(s):  
Houda Hachad ◽  
Isabelle Ragueneau-Majlessi ◽  
René H. Levy
Keyword(s):  
Drug Interaction ◽  
Analysis Tool ◽  
Web Based ◽  
Interaction Database

Attrition in Otolaryngology Residency

2011 ◽  
Vol 145 (5) ◽  
pp. 753-754 ◽  
Author(s):  
Jeremy D. Prager ◽  
Charles M. Myer ◽  
Charles M. Myer
Keyword(s):  
General Surgery ◽  
Career Paths ◽  
Response Rate ◽  
Training Programs ◽  
Attrition Rate ◽  
Limited Data ◽  
Web Based ◽  
Survey Response Rate ◽  
Residency Program Directors ◽  
Medical Programs

Attrition is a disruptive problem in residency training programs. Resident attrition has been more thoroughly investigated and reported in other medical fields with limited data specific to otolaryngology. Using a Web-based survey of otolaryngology residency program directors, information regarding a 5-year cohort of residents was collected. The survey response rate was 61% (59 of 97 programs), representing 779 of 1239 training positions (63%). Forty-two percent of responding programs (25 of 59) lost a total of 47 residents (range, 1-7; mode 1). The overall attrition rate was 6% for the 5-year cohort (47 of 779) or 1.2% annually. Involuntary attrition affected 6 residents. Eighteen residents voluntarily left for other medical programs. Four left medicine entirely. The remaining 19 residents’ career paths were not described. Attrition within otolaryngology occurs with less frequency than general surgery and is likely comparable to other surgical subspecialties.

Feasibility of testing for Chlamydia trachomatis in a general population sexual behaviour survey in Slovenia

2002 ◽  
Vol 13 (1_suppl) ◽  
pp. 5-8 ◽  
Author(s):  
I Klavs ◽  
L C Rodrigues ◽  
K Wellings ◽  
D KešE ◽  
I ŠVab
Keyword(s):  
Chlamydia Trachomatis ◽  
General Population ◽  
Sexual Behaviour ◽  
Overall Response Rate ◽  
Response Rate ◽  
Participation Rate ◽  
Face To Face ◽  
Survey Response Rate ◽  
Polymerase Chain ◽  
Genitourinary Infection

Our objective was to assess the feasibility of integrating first void urine (FVU) specimens testing for Chlamydia trachomatis genitourinary infection into a general population sexual behaviour survey. A total of 752 randomly selected respondents aged 18 to 54 were enrolled into the survey. Face to face interviewing with self-administered sensitive questions was used. Overall survey response rate was 77.4%. A convenience sub-sample of 83 respondents were invited to provide FVU specimens for confidential testing for C. trachomatis genitourinary infection. Fifty-five complied. This resulted in 66% FVU specimen participation rate among targeted respondents. Two specimens tested positive by Amplicor polymerase chain reaction. High feasibility study overall response rate indicated good acceptability of the survey. It proved feasible to collect FVU specimens for C. trachomatis testing in the small sub-sample. Consequently, we proceeded with integration of testing for C. trachomatis into the ongoing main survey.

scholarly journals Turkey’s response to COVID-19 in terms of mental health

2020 ◽  
Vol 37 (3) ◽  
pp. 222-225 ◽  
Author(s):  
Hakan Öğütlü
Keyword(s):  
Mental Health ◽  
General Population ◽  
Health System ◽  
Mental State ◽  
Healthcare Workers ◽  
Healthcare Professionals ◽  
The Public ◽  
The World ◽  
The Many ◽  
Intrinsic Strength

Coronavirus disease (also known as COVID-19) continues to spread throughout the world. In Turkey, which has a strong health system, most hospitals have been turned into pandemic hospitals, elective procedures have been postponed, and doctors have been reassigned to treat COVID-19. Efforts to limit spread of COVID-19 have been effective in reducing the spread of COVID-19. Behind this success was not only the intrinsic strength of the health system but also the strict changes in everyday life wrought by the crisis. It is an inescapable fact that these new measures, such as the imposition of curfew and lockdown, have had a significant effect on the mental health of the general population. Anxiety caused by COVID-19 has spread to the mental state of everyone. Although coronavirus-related diseases will end soon, it is predicted that serious psychiatric disorders will be a lasting consequence of the pandemic. Despite the many negatives brought by COVID-19, it has led to a positive unity between the public and healthcare professionals, and in spite of significant risks to their own health, healthcare workers have risen to the challenge of COVID-19.

scholarly journals Device and Medication Preferences of Canadian Physicians for Emergent Endotracheal Intubation in Critically Ill Patients

CJEM ◽  
2016 ◽  
Vol 19 (3) ◽  
pp. 186-197
Author(s):  
Robert S. Green ◽  
Dean A. Fergusson ◽  
Alexis F. Turgeon ◽  
Lauralyn A. McIntyre ◽  
George J. Kovacs ◽  
...  
Keyword(s):  
Critically Ill ◽  
Direct Laryngoscopy ◽  
Critically Ill Patients ◽  
Response Rate ◽  
Web Based ◽  
Usual Practice ◽  
Survey Response Rate ◽  
Macintosh Blade ◽  
First Choice ◽  
Icu Physicians

AbstractObjectivesVarious medications and devices are available for facilitation of emergent endotracheal intubations (EETIs). The objective of this study was to survey which medications and devices are being utilized for intubation by Canadian physicians.MethodsA clinical scenario-based survey was developed to determine which medications physicians would administer to facilitate EETI, their first choice of intubation device, and backup strategy should their first choice fail. The survey was distributed to Canadian emergency medicine (EM) and intensive care unit (ICU) physicians using web-based and postal methods. Physicians were asked questions based on three scenarios (trauma; pneumonia; heart failure) and responded using a 5-point scale ranging from “always” to “never” to capture usual practice.ResultsThe survey response rate was 50.2% (882/1,758). Most physicians indicated a Macintosh blade with direct laryngoscopy would “always/often” be their first choice of intubation device in the three scenarios (mean 85% [79%-89%]) followed by video laryngoscopy (mean 37% [30%-49%]). The most common backup device chosen was an extraglottic device (mean 59% [56%-60%]). The medications most physicians would “always/often” administer were fentanyl (mean 45% [42%-51%]) and etomidate (mean 38% [25%-50%]). EM physicians were more likely than ICU physicians to paralyze patients for EETI (adjusted odds ratio 3.40; 95% CI 2.90-4.00).ConclusionsMost EM and ICU physicians utilize direct laryngoscopy with a Macintosh blade as a primary device for EETI and an extraglottic device as a backup strategy. This survey highlights variation in Canadian practice patterns for some aspects of intubation in critically ill patients.

scholarly journals Levels and Factors Associated with Resilience in Italian Healthcare Professionals during the COVID-19 Pandemic: A Web-Based Survey

2020 ◽  
Vol 10 (12) ◽  
pp. 183
Author(s):  
Lucia Lisi ◽  
Jacopo Ciaffi ◽  
Antonella Bruni ◽  
Luana Mancarella ◽  
Veronica Brusi ◽  
...  
Keyword(s):  
General Population ◽  
Healthcare Professionals ◽  
Linear Regression Analysis ◽  
Geographical Area ◽  
Depression Score ◽  
Control Group ◽  
Web Based ◽  
Targeted Interventions ◽  
Resilience Scale ◽  
Comparison Results

Background: Resilience is defined as the capacity to cope successfully with change or adversity. The aims of our study were to investigate levels of resilience in Italian healthcare professionals (HCPs) during the Coronavirus disease 2019 (COVID-19) pandemic and to identify potential predictors of resilience. Methods: We performed a web-based survey of HCPs (n = 1009) working in Italian hospitals during the COVID-19 pandemic. The survey contained a 14-item resilience scale (RS14) and questionnaires to evaluate depression and anxiety symptoms. Non-HCP individuals (n = 375) from the general population were used for comparison. Results: HCPs showed significantly lower resilience compared to the control group (p = 0.001). No significant differences were observed after stratification for geographical area, work setting, role, or suspected/confirmed diagnosis of COVID-19. In a linear regression analysis, RS14 was inversely correlated with depression (R2 = 0.227, p < 0.001) and anxiety (R2 = 0.117, p < 0.001) and directly correlated with age (R2 = 0.012, p < 0.001) but not with body mass index (BMI, R2 = 0.002, p = 0.213). In male HCPs, higher depression score (odds ratio (OR) 1.147, p < 0.001) or BMI (OR 1.136, p = 0.011) significantly predicted having low resilience. In female HCPs, higher depression score (OR 1.111, p < 0.0001) and working in a COVID-19 free setting (OR 2.308, p = 0.002) significantly predicted having low resilience. HCPs satisfied with personal protective equipment had higher levels of resilience (p < 0.010). Conclusions: Our findings suggest that resilience was lower in Italian HCPs than in the general population after the first COVID-19 wave. Specific factors can be identified, and targeted interventions may have an important role to foster resilience of HCPs.

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