Knowledge and clinical practices of medical doctors regarding nutrition in cirrhosis patients – a multicentre study from Pakistan

2021 ◽  
pp. 1-16
Author(s):  
Laima Alam ◽  
Hafiz Faisal Ali ◽  
Mafaza Alam ◽  
Jawad Khan ◽  
Shaista Khan
Keyword(s):  
Multicentre Study ◽  
Salt Water ◽  
Daily Basis ◽  
Formal Training ◽  
Medical Doctors ◽  
Nutritional Knowledge ◽  
Clinical Practices ◽  
Cross Sectional ◽  
Nutritional Counselling ◽  
The Mean

Abstract: Objective: The objective of the study is to determine the nutritional knowledge and clinical practices of medical doctors regarding nutrition in cirrhosis patients in a multicentre study. Methods: This multi-centre cross-sectional knowledge and practice (KAP) study was conducted from January 2020 to March 2020 and comprised of physicians working in wards, Out Patient and Emergency Departments. The participants were interviewed using a self-generated structured questionnaire after adequate literature review. The data was analysed using SPSS 16.0. Results: Of the 92 participants, 52 (56.5%) were males, the mean age of the physicians was 28.3 ± 4 years with mean years in service of 3.7 ± 3 years. The mean score obtained was 5.8 ± 2.1 (out of 13). An alarmingly low percentage (35.9%) of physicians had received formal training, 29.3% were giving regular nutritional counselling and 52.2% wrongly believed in the implementation of restricted diets. Salt, water and lipids/oils were incorrectly considered to be avoided in decompensated patients in the percentages of 61%, 49% and 24%, respectively. Mean knowledge scores varied significantly for physicians dealing with cirrhosis patients on daily basis and those who received formal training. Gender, number of service years and physicians providing counselling on regular basis (without proper training) did not impact the scores significantly. Conclusion: The nutritional knowledge of our medical doctors regarding cirrhosis is sub-optimal, the clinical practices adopted are not evidence based and the clinical assessment with nutritional counselling lack vigour and consistency. Continuous...

scholarly journals Nutrition knowledge and Attitude in Medical Students of Tabriz University of Medical Sciences in 2017-2018

2019 ◽  
Author(s):  
Neda Dolatkhah ◽  
Seyed Kazem Shakouri ◽  
Azizeh Farshbaf Khalili ◽  
Majid Hajifaraji ◽  
Maryam Hashemian ◽  
...  
Keyword(s):  
Medical Students ◽  
Clinical Training ◽  
Cross Sectional Study ◽  
Nutrition Knowledge ◽  
Nutritional Knowledge ◽  
Validity And Reliability ◽  
Medical Sciences ◽  
Cross Sectional ◽  
The Mean ◽  
Knowledge And Attitude

Abstract Objectives : In this cross-sectional study among 220 medical students we aimed to determine the nutritional knowledge and attitude of medical students through clinical training courses (externship and internship) of Tabriz University of Medical Sciences, Iran. A nutritional knowledge questionnaire included 51 questions was used to determine the correct, perceived and accuracy of knowledge of the participant in different aspects of nutrition sciences. Nutritional knowledge was calculated as percentage of correct responses. The nutrition attitude questionnaire included 30 questions. Both questionnaires were confirmed in terms of the validity and reliability for assessing nutritional knowledge and attitude in this sample of Iranian medical students. Results: The mean score of correct knowledge was not significantly different among externs and interns (68.20±7.50% and 67.87±6.04% respectively, p=0.729). Results showed that most of the participants (49.61% of externs and 57.14% of inters) had a poor nutritional knowledge, significantly varied by age (p=0.035). The mean attitude index of the subjects was not significantly different among externs and interns (106.37±13.66 and 108.16±13.35 out of 145 respectively, p=0.337). Most students (92.7%) had a very appropriate attitude toward nutrition, significantly varied by sex (p=0.010). These findings indicate that there are multiple deficiencies in nutrition knowledge of medical students.

scholarly journals Prevention of Renal Stone Recurrence: Knowledge and Practice Patterns Among Medical Officers of DHQ Hospital, Faisalabad

Esculapio ◽  
2020 ◽  
Vol 16 (03, july 2020-Septmber 2020) ◽  
Author(s):  
Muhammad Saifullah ◽  
Hanan Noor ◽  
Muhammad Waqas Iqbal ◽  
Nauman Khalid ◽  
Muhammad Sohail ◽  
...  
Keyword(s):  
Renal Stone ◽  
Practice Patterns ◽  
Medical Officer ◽  
Renal Stones ◽  
Cross Sectional Study ◽  
Clinical Practices ◽  
Cross Sectional ◽  
Stone Recurrence ◽  
The Mean ◽  
Knowledge And Practice

Objective: To assess the knowledge and practice patterns among medical officers of DHQ Hospital, Faisalabad in the prevention of recurrent renal stones. Cross sectional study. DHQ hospital, Faisalabad during 01-01-2019 to 30-09-2019. Methods: In this study the medical officers of either gender and age more than 25 years and working in DHQ Hospital, Faisalabad were included. They were assessed on the basis of a designed questionnaire regarding their general practice and knowledge in order to prevent renal stone recurrence. The paper based questionnaire was circulated to medical officers in different departments of the hospital. Results: In this study total 225 medical officers that were included. 135 (60%) of these participants were males and 90 (40%) were females. The mean age of the participants was 29.70±3.21 years. The mean working experience was 4.40±2.18 years. On assessment, 65.67% medical officers had adequate knowledge regarding recurrent renal stone prevention according to latest practice guidelines. Unfortunately 62.22% respondents were not practicing their knowledge adequately. Conclusion: The knowledge regarding the clinical practices in light of recent guidelines was optimal, however the practice regarding the preventive strategies was below power. Keywords; Renal stone, Recurrence, Medical officer, prevention.

scholarly journals Evaluation of the impact of intra-operative distractions on teamwork, stress and workload

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
W Aouicha ◽  
M A Tlili ◽  
M Limam ◽  
M Snéne ◽  
M Ben Dhiab ◽  
...  
Keyword(s):  
Daily Basis ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Team Members ◽  
Surgical Workflow ◽  
Global Teamwork ◽  
The Mean ◽  
Teaching Cases ◽  
The Impact

Abstract Background Within the OR, distractions occur on a regular basis, which affects surgical workflow and results in discontinuation of urgent tasks. In addition, engaging into distractions in the OR may not only increase stress and workload, but also impair teamwork performance. This study aimed to observe the occurrence of intra-operative distractions in ORs and to evaluate associations between distractions, teamwork, workload and stress. Methods This observational cross-sectional study was conducted in Sahloul University Hospital; more specifically in four different surgical units: orthopedic, urology, emergency and digestive surgery and over a period of 3 months in 2018. Using validated observation sheets, distractions and teamwork were recorded and rated in real-time during the intraoperative phase of every case. Besides, stress and workload of OR team members were measured at the end of each operation. All ethical considerations were taken into account. Results Fifty cases were observed and 160 participants were included in this study. In total, we recorded 933 distractions that occurred once every 3 minutes, on average. The mean global teamwork score was 3.85 (SD = ±0,67) on a scale of 0 to 6, the mean workload score was 58.60 (±24,27) and the mean stress score was 15.29 (SD = ±4,00). The highest rate of distraction was significantly related to external staff entering or exiting the OR during non-teaching cases (M = 9.43, SD = 3.56; p = 0.006). Surgeons also experienced significantly higher workload with a mean of 66.88 (SD = 25.98,p<0.01). Conclusions This study highlighted a serious problem which is, often, ignored or underestimated. Taking into consideration the results, we recommend the implementation of systemic interventions on a daily basis to reduce the number of distractions in the OR. Key messages Distractions happened in all of the included operations. Stress and workload among nurses got higher as work environment distractions increased.

scholarly journals Nutritional Knowledge and Eating Habits of the National Brazilian Futsal Team

2021 ◽  
Vol 25 ◽  
Author(s):  
Miguel Angelo dos Santos Duarte Junior ◽  
Gina Louise Trakman ◽  
Júlio Brugnara Mello ◽  
Marcos Xavier De Andrade ◽  
Rodrigo Carlet ◽  
...  
Keyword(s):  
Eating Habits ◽  
Food Group ◽  
High Energy ◽  
Nutrition Knowledge ◽  
Significant Loss ◽  
Nutritional Knowledge ◽  
Cross Sectional ◽  
Supplement Use ◽  
Correct Score ◽  
The Mean

Introduction: Futsal is a sport that requires nutritional support to support the high-energy expenditure and significant loss of fluids and electrolytes during training and matches. It is important that high-level athletes follow appropriate, evidence-based nutrition. To our knowledge, there is a lack of data on the eating habits and nutrition knowledge of Futsal players. Therefore, this study aims to describe the nutritional knowledge and eating habits of players of the national Brazilian Futsal Team. A secondary aim was to translate the Abridged Nutrition for Sport Questionnaire into Portuguese for use in Portuguese-speaking athletes. Material and methods: This is a cross-sectional and descriptive study. The evaluations were carried out during the preparation period of the Brazilian Futsal Team for the FIFA Futsal World Cup 2020 qualifiers.  We evaluated anthropometry (weight, height, body mass index) nutritional knowledge (assessed using a translated version of the Abridged Nutrition for Sport Knowledge Questionnaire) and eating habits (assessed using a validated Brazilian FFQ), as well as supplement use. The translation of the ANSKQ was undertaken using previous validated forward-backward translation procedures. Results: The mean total correct score on the ANSKQ was 12 out of a possible 35 (34.45%). The mean total correct score on the ANSKQ was 12 out of a possible 35 (34.45%). Players had a statistically significantly higher score for “General Nutrition” knowledge than Sports Nutrition Knowledge (47.27% vs 28.53%, p<0.005). Futsal players had infrequent consumption of the food group "Milk and dairy products", and frequent consumption of "Snacks" as well as fruits. Regarding dietary supplements, 46% of athletes said they consume, or previously consumed, with Whey Protein being the most common supplement. Conclusions: There is room from improvement in athletes nutrition knowledge, especially sports specific knowledge. Futsal players may also require education on appropriate supplement use and dietary intake.

scholarly journals Nutrition knowledge and Attitude in Medical Students of Tabriz University of Medical Sciences in 2017-2018

2019 ◽  
Author(s):  
Neda Dolatkhah ◽  
Dawood Aghamohammadi ◽  
Azizeh Farshbaf Khalili ◽  
Majid Hajifaraji ◽  
Maryam Hashemian ◽  
...  
Keyword(s):  
Medical Students ◽  
Clinical Training ◽  
Cross Sectional Study ◽  
Nutrition Knowledge ◽  
Nutritional Knowledge ◽  
Validity And Reliability ◽  
Medical Sciences ◽  
Cross Sectional ◽  
The Mean ◽  
Knowledge And Attitude

Abstract Objectives : In this cross-sectional study among 220 medical students we aimed to determine the nutritional knowledge and attitude of medical students through clinical training courses (externship and internship) of Tabriz University of Medical Sciences, Iran. A nutritional knowledge questionnaire included 51 questions was used to determine the correct, perceived and accuracy of knowledge of the participant in different aspects of nutrition sciences. Nutritional knowledge was calculated as percentage of correct responses. The nutrition attitude questionnaire included 30 questions. Both questionnaires were confirmed in terms of the validity and reliability for assessing nutritional knowledge and attitude in this sample of Iranian medical students. Results: The mean score of correct knowledge was not significantly different among externs and interns (68.20±7.50% and 67.87±6.04% respectively, p=0.729). Results showed that most of the participants (49.61% of externs and 57.14% of inters) had a poor nutritional knowledge, significantly varied by age (p=0.035). The mean attitude index of the subjects was not significantly different among externs and interns (106.37±13.66 and 108.16±13.35 out of 145 respectively, p=0.337). Most students (92.7%) had a very appropriate attitude toward nutrition, significantly varied by sex (p=0.010). These findings indicate that there are multiple deficiencies in nutrition knowledge of medical students.

scholarly journals Nutritional knowledge, attitude and behaviours regarding Coronavirus Disease 2019 among residents of Gonabad, Iran

2021 ◽  
pp. 1-7
Author(s):  
Mozhgan Mansoorian ◽  
Reza Noori ◽  
Shahla Khosravan ◽  
Seyed-Amir Tabatabaeizadeh ◽  
Nasim Khajavian
Keyword(s):  
Early Stage ◽  
Economic Status ◽  
Nutritional Knowledge ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Data Collection Instrument ◽  
The Mean ◽  
Knowledge And Attitude ◽  
Issue Knowledge ◽  
Behaviour Score

Abstract Objective: Coronavirus Disease 2019 (COVID-19) is a respiratory disease and a major global health-related issue. Knowledge, attitude and behaviours associated with this disease are being developed. Infected animals and consumption of contaminated foods are probably the main sources of this viral infection. Adhering to a healthy diet is effective in preventing patient affliction and recovery. Thus, the present research aims to determine the nutritional knowledge, attitude and behaviours associated with COVID-19 among Residents of Gonabad, Iran. Design: The present online cross-sectional survey was conducted in March 2020 on 389 people selected through convenient sampling method. The data collection instrument was a questionnaire developed by the present researchers comprising four sections: demographic information, knowledge, attitude and nutritional behaviour. The collected data were analysed statistically in SPSS. Setting: Gonabad city in Khorasan Razavi in the Northeast of Iran. Participants: All people at or above 18 years of age. Results: The present results revealed that the mean age of the participants was 37·3 ± 11·3 years. The mean scores for knowledge, attitude and nutritional behaviour were, respectively, 9·7 ± 1·4, 14·3 ± 3·5 and 29·6 ± 4·2. The mean scores for nutritional knowledge and attitude showed no statistically significant correlation with age, education, occupation, marital status and economic status. However, the mean nutritional behaviour score was significantly higher among women than men (P = 0·004). Conclusions: Participants’ nutritional attitude and behaviour regarding COVID-19, at its early stage in Iran, were average and above average. The public education provided with this regard can have affected this result.

scholarly journals Nutrition knowledge and Attitude in Medical Students of Tabriz University of Medical Sciences in 2017-2018

2019 ◽  
Author(s):  
Neda Dolatkhah ◽  
Dawood Aghamohammadi ◽  
Azizeh Farshbaf Khalili ◽  
Majid Hajifaraji ◽  
Maryam Hashemian ◽  
...  
Keyword(s):  
Medical Students ◽  
Clinical Training ◽  
Cross Sectional Study ◽  
Nutrition Knowledge ◽  
Nutritional Knowledge ◽  
Validity And Reliability ◽  
Medical Sciences ◽  
Cross Sectional ◽  
The Mean ◽  
Knowledge And Attitude

Abstract Objectives : In this cross-sectional study among 220 medical students we aimed to determine the nutritional knowledge and attitude of medical students through clinical training courses (externship and internship) of Tabriz University of Medical Sciences, Iran. A nutritional knowledge questionnaire included 51 questions was used to determine the correct, perceived and accuracy of knowledge of the participant in different aspects of nutrition sciences. Nutritional knowledge was calculated as percentage of correct responses. The nutrition attitude questionnaire included 30 questions. Both questionnaires were confirmed in terms of the validity and reliability for assessing nutritional knowledge and attitude in this sample of Iranian medical students. Results: The mean score of correct knowledge was not significantly different among externs and interns (68.20±7.50% and 67.87±6.04% respectively, p=0.729). Results showed that most of the participants (49.61% of externs and 57.14% of inters) had a poor nutritional knowledge, significantly varied by age (p=0.035). The mean attitude index of the subjects was not significantly different among externs and interns (106.37±13.66 and 108.16±13.35 out of 145 respectively, p=0.337). Most students (92.7%) had a very appropriate attitude toward nutrition, significantly varied by sex (p=0.010). These findings indicate that there are multiple deficiencies in nutrition knowledge of medical students.

Addiction and pain

2011 ◽  
Vol 26 (S2) ◽  
pp. 81-81
Author(s):  
J. Masmoudi ◽  
R. Damak ◽  
L. Mnif ◽  
N. Charfi ◽  
I. Baati ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Drug Abuse ◽  
Electrical Discharge ◽  
Emotional Experience ◽  
Daily Basis ◽  
Cross Sectional Study ◽  
Alcohol Dependency ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Mean

Pain is an unpleasant sensory and emotional experience associated with existing or potential tissue damage or described in terms of such damage.ObjectiveTo define the nature and severity of substance abuse in patients attending detox cure and the importance of pain during the weaning.Materials and methodsThis is a cross-sectional study done in March 2010 over 30 patients hospitalized in the “center of help and listening to Tina-Sfax”.Through a questionnaire, we collected the biographical data, the drugs used and ways of administration, the association of toxic and the characteristics of pain: type, location, extension.We spent the TDEA: test of alcohol dependency, the DAST: screening for drug abuse and the scale of overall pain intensity.ResultsThe mean age of patients was 24.5 years, 86.7% of our sample were men. 47% of our patients consulted by their own and 47% at the request of one third. 76.7% of patients consuming the Subutex. Poly drug was present in 50%. The intravenous way was present in 76.7% cases.46.7% of our patients had twice-daily dosing, 33.6% consumed a daily basis and 100% were addicted.The pain was constant among 63.3% of patients, it was in kind of burning and tearing in 60% of patients. She was paroxysmal and in type of electrical discharge in 63.3% of cases.ConclusionThe cure of detox can cause various types of pain, which can lead to relapse or failure of the process of weaning.

Personal Audio System: Hearing Symptoms, Habits, and Sound Pressure Levels Measured in Real Ear and a Manikin

2020 ◽  
Vol 63 (6) ◽  
pp. 2016-2026
Author(s):  
Tamara R. Almeida ◽  
Clayton H. Rocha ◽  
Camila M. Rabelo ◽  
Raquel F. Gomes ◽  
Ivone F. Neves-Lobo ◽  
...  
Keyword(s):  
Sound Pressure ◽  
Daily Basis ◽  
Cross Sectional Study ◽  
Normal Hearing ◽  
Chi Square ◽  
Cross Sectional ◽  
The Real ◽  
Significant Difference ◽  
Sound Pressure Levels ◽  
Audio System

Purpose The aims of this study were to characterize hearing symptoms, habits, and sound pressure levels (SPLs) of personal audio system (PAS) used by young adults; estimate the risk of developing hearing loss and assess whether instructions given to users led to behavioral changes; and propose recommendations for PAS users. Method A cross-sectional study was performed in 50 subjects with normal hearing. Procedures included questionnaire and measurement of PAS SPLs (real ear and manikin) through the users' own headphones and devices while they listened to four songs. After 1 year, 30 subjects answered questions about their usage habits. For the statistical analysis, one-way analysis of variance, Tukey's post hoc test, Lin and Spearman coefficients, the chi-square test, and logistic regression were used. Results Most subjects listened to music every day, usually in noisy environments. Sixty percent of the subjects reported hearing symptoms after using a PAS. Substantial variability in the equivalent music listening level (Leq) was noted ( M = 84.7 dBA; min = 65.1 dBA, max = 97.5 dBA). A significant difference was found only in the 4-kHz band when comparing the real-ear and manikin techniques. Based on the Leq, 38% of the individuals exceeded the maximum daily time allowance. Comparison of the subjects according to the maximum allowed daily exposure time revealed a higher number of hearing complaints from people with greater exposure. After 1 year, 43% of the subjects reduced their usage time, and 70% reduced the volume. A volume not exceeding 80% was recommended, and at this volume, the maximum usage time should be 160 min. Conclusions The habit of listening to music at high intensities on a daily basis seems to cause hearing symptoms, even in individuals with normal hearing. The real-ear and manikin techniques produced similar results. Providing instructions on this topic combined with measuring PAS SPLs may be an appropriate strategy for raising the awareness of people who are at risk. Supplemental Material https://doi.org/10.23641/asha.12431435

Relationship of Sense of Coherence to Other Psychosocial Indices

2004 ◽  
Vol 20 (4) ◽  
pp. 227-236 ◽  
Author(s):  
Sara Holmberg ◽  
Anders Thelin ◽  
Eva-Lena Stiernström
Keyword(s):  
Social Support ◽  
Psychosocial Factors ◽  
Sense Of Coherence ◽  
Living Conditions ◽  
Strong Negative Correlation ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Work Related ◽  
Job Demand ◽  
The Mean

Summary: The concept of “sense of coherence” (SOC) has been widely recognized since it was first introduced by Antonovsky. The originality and usefulness of the SOC scale and its relation to other psychosocial measures has been the subject of lively debate. The aim of this paper was to test for associations between SOC and work-related psychosocial factors (mainly the Job Demand-Control model), general living conditions, education, and social network factors. Cross-sectional data from a population-based sample of 1782 rural males from nine counties in Sweden were analyzed with a multiple regression technique. The subjects were occupationally active at inclusion and the mean age was 50 years (range 40-60). SOC was assessed with the original 29-item questionnaire. Psychosocial variables and lifestyle factors were assessed using questionnaires and structured interviews. The mean SOC among the subjects was 152.3 (standard deviation, 19.4). A strong negative correlation was found between SOC and job demand, whereas a positive correlation with job control was demonstrated. A positive correlation with general living conditions and with social support was also found. However, there was no correlation to education and occupation. Thus, SOC was shown to be strongly correlated to work-related psychosocial factors and social support, but independent of sociodemographic factors.

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