MEDICAL PRFESSIONALISM: COMPARING VIEWS OF PUBLIC AND DOCTORS

Objective: To compare the views of public and doctors about importance of attributes of medical professionalism. Study Design: cross-sectional comparative study. Place and Duration of Study: Study was carried out at Fauji Foundation Hospital Rawalpindi from Oct 2019 to Mar 2020. Methodology: Study included 115 public participants and 115 doctors. Their perceptions about the importance of different attributes of medical professionalism were recorded on a structured questionnaire by rating on a 5-point Likert scale of importance. Independent samples t-test was used to compare the mean scores of the public group to the mean scores of the doctors for every attribute. Results: View of public and doctors were very similar. “Honesty and integrity, sound judgment and decision making, responsible behavior, confidentiality, professional development, abiding professional rules, and being reliable” were ranked among the top ten important attributes by both groups. On the other extreme “maintaining a high standard of living” was ranked at the bottom of list by both groups. Significant differences in views of public and doctors were found regarding attributes of social justice among doctors (4.4 vs 4.09, p=0.012) and among patients (4.43 vs 4.09, p=0.05) and autonomy (4.42 vs 4.2; p=0.042). Conclusion: The opinions of public and doctors on what constitutes medical professionalism are similar with integrity and honesty being the most important attribute and to maintain a high standard of living being the least important attribute.

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Judicial demand of medications through the Federal Justice of the State of Paraná

Einstein (São Paulo) ◽

10.1590/s1679-45082017gs3792 ◽

2017 ◽

Vol 15 (1) ◽

pp. 85-91 ◽

Cited By ~ 3

Author(s):

Renato Mitsunori Nisihara ◽

Ana Carolina Possebom ◽

Luiza de Martino Cruvinel Borges ◽

Ana Claudia Athanasio Shwetz ◽

Fernanda Francis Benevides Bettes

Keyword(s):

Cross Sectional Study ◽

The State ◽

Brand Name ◽

Sectional Study ◽

Cross Sectional ◽

The Public ◽

Online System ◽

Broad Variety ◽

The Mean ◽

Mean Time

ABSTRACT Objective To describe the profile of lawsuits related to drug requests filled at the Federal Justice of the State of Paraná. Methods A cross-sectional study, and the data were obtained through consulting the lawsuits at the online system of the Federal Justice of Paraná. Results Out of 347 lawsuits included in the study, 55% of plaintiffs were women, with a median age of 56 years. Oncology was the field with more requests (23.6%), and the highest mean costs. A wide variety of diseases and broad variety of requested drugs were found in the lawsuits. Approximately two-thirds of them were requested by the brand name, and the most often requested drugs were palivizumab and tiotropium bromide. Only 14.5% of the requested medicines were registered in the National Medication Register. The Public Defender’s Office filled actions in 89.6% of cases and all lawsuits had an interim relief. The mean time for approval was 35 days and 70% of requests were granted. Conclusion Oncology was the field with the highest demand for medicines at the Federal Justice of Paraná in 2014. A great variety of medications was requested. The Public Defender´s Office represented most lawsuits. All demands had an interim relief, and the majority of requests were granted, within an average of 35 days.

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Influence on attitudes and lifestyle due to lockdown amidst COVID-19 pandemic: a perception-based analysis among Bangladeshi residents

BMC Public Health ◽

10.1186/s12889-021-12012-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Md. Saiful Islam ◽

Md. Asad Ullah ◽

Ummay Soumayia Islam ◽

Sahadat Hossain ◽

Yusha Araf ◽

...

Keyword(s):

Associated Factors ◽

Formal Education ◽

Rural Residence ◽

Regression Analyses ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Factors Associated ◽

Positive Attitudes ◽

The Mean ◽

Structured Questionnaire

Abstract Background Countrywide lockdown or stay-at-home order has been implemented to slow down the transmission of emergent coronavirus. However, the influence on attitudes and lifestyle due to lockdown amidst the coronavirus disease 2019 (COVID-19) pandemic has been poorly understood. The present study aimed to investigate the influence on attitudes and lifestyle due to lockdown amidst the COVID-19 pandemic among Bangladeshi residents. Methods A cross-sectional survey carried out involving 1635 community dwellers across eight divisions in Bangladesh conducted from April 15, 2020 to May 10, 2020. A structured questionnaire incorporating socio-demographic, attitudes towards lockdown and adverse lifestyle amidst lockdown measures was employed to collect data using the Google Forms. Multiple regression analyses were executed to determine the associated factors of positive attitudes towards lockdown and adverse lifestyle. Results The mean scores of attitudes towards lockdown were 67.9 (SD = 8.4) out of 85 with an overall correct rate (positive attitudes) of 79.9%; whereas the mean scores of adverse lifestyle amidst lockdown were 16.1 (SD = 4.8) out of 34 with an overall rate of 47.4%. The factors associated with more positive attitudes towards lockdown included being female, divorced, higher educated, and students. Conversely, being male, having no formal education, and rural residence were associated factors of adverse lifestyle amidst the COVID-19 pandemic. Conclusions The findings reflect how the COVID-19 lockdown has preciously impacted the attitudes, and lifestyle of Bangladeshi citizens, which will contribute to promoting appropriate measures during a subsequent zonal or complete lockdown.

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Acceptance and utilization of HIV testing among the youth: a cross-sectional study in Techiman, Ghana

African Health Sciences ◽

10.4314/ahs.v20i1.19 ◽

2020 ◽

Vol 20 (1) ◽

pp. 142-149

Author(s):

Bernard YA Asare ◽

Henrietta Y Yeboaa ◽

Bismark Dwumfour-Asare

Keyword(s):

Hiv Testing ◽

Cross Sectional Study ◽

Hiv Screening ◽

Sectional Study ◽

Awareness Campaign ◽

Cross Sectional ◽

The Mean ◽

Prevention Of Hiv ◽

Structured Questionnaire ◽

Hiv Aids

Background: In Ghana, efforts including ‘Know Your Status’ campaign have been made to increase awareness and improve the uptake of HIV screening. Objective: This study examined the acceptance and utilization of the HIV/AIDS ‘Know Your Status’ campaign and determine dthe differences in HIV testing by demographic characteristics among the youth in Techiman, Ghana. Method: This study was a cross-sectional study conducted among the youth aged 15-24 years. A structured questionnaire was used to collect data from 200 purposively selected respondents. Results: The mean age of the respondents was 19.6±2.72 years. There was a universal awareness (100%) of HIV/AIDs, and were knowledgeable about the mode of transmission, symptoms and the prevention of HIV. A high proportion of the respon- dents (n=161, 80.5%) had heard about the ‘Know Your Status’ (KYS) campaign. Less than half of respondents (n=91, 45.5%) had tested for HIV, and only 16.5% (n=15/91) of respondents tested through the KYS campaign. Testing for HIV was associ- ated with age (p<0.001) and marital status (p<0.001). Conclusion: The youth should therefore be targeted in the awareness and the ‘Know Your Status campaigns’, and in an effort- sto promote screening for HIV. Keywords: Awareness; campaign; knowledge; HIV/AIDS; know your status; screening.

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Prevalence of Hypertension and Associated Risk Factors Among Women in a Rural Community in Bangladesh: A Cross-Sectional Study

Millennium Journal of Humanities and Social Sciences ◽

10.47340/mjhss.v2i2.1.2021 ◽

2021 ◽

pp. 1-19

Author(s):

Anika Boitchia ◽

Shabnam Naher ◽

Sabbir Pervez ◽

Moyazzem Hossainc

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Rural Women ◽

Cross Sectional Study ◽

Uncontrolled Hypertension ◽

Background Characteristics ◽

Cross Sectional ◽

The Mean ◽

Associated Risk Factors ◽

Structured Questionnaire

Abstract The purpose of this cross-sectional quantitative study was to identify the prevalence and associated risk factors of hypertension among rural women. Data collection was carried out between March to June 2019 among 380 women in Kumarkhali Upazila, Kushtia, Bangladesh. Participants were interviewed with a structured questionnaire including background characteristics, anthropometric measurements, prevalence, and risk factors of hypertension. IBM SPSS version 25 was used for analyzing the data. The prevalence of hypertension and prehypertension among the total participants was 21.3% and 17.1%, respectively. The mean systolic and diastolic blood pressure was 126.65 (±19.31) mmHg and 77.21 (±12.51) mmHg. Association was found between the prevalence of hypertension and participant’s age, marital status, educational level, body mass index, intake of raw salt, secondary smoking, stress, and diabetes (p<0.05). Among the diabetic women, prehypertension and hypertension prevailed as 26.3% and 55.3% respectively. The lowest risk of hypertension was found with limited raw salt (aOR: 1.42) and red meat (aOR: 0.05) consumption. Hypertension was more likely to affect overweight (aOR: 3.98) and women aged 55 to 64 years (aOR: 13.44). Thus, effective and integrated intervention agendas are required for women, which can improve the rate of diagnosis and prevent uncontrolled hypertension in Bangladesh. Keywords: Prevalence, hypertension, women, blood pressure, risk factor, Bangladesh

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Evaluation of blood lead among painters of buildings and cars

Toxicology and Industrial Health ◽

10.1177/07482337211042731 ◽

2021 ◽

pp. 074823372110427

Author(s):

Ali Ghaffarian-Bahraman ◽

Alireza Taherifard ◽

Abbas Esmaeili ◽

Hassan Ahmadinia ◽

Mohsen Rezaeian

Keyword(s):

Lead Level ◽

Blood Lead ◽

Absorption Spectrometry ◽

Cross Sectional Study ◽

Inclusion Criteria ◽

Cross Sectional ◽

Blood Samples ◽

Low Concentrations ◽

The Mean ◽

Structured Questionnaire

Exposure to lead-based paints is a major threat to the health of painters. This study aimed to evaluate the blood concentration of lead (Pb) in painters of buildings and cars. The present study was a cross-sectional study in which a semi-structured questionnaire was used to collect the socio-demographic information. Lead concentration in blood samples was determined using the atomic absorption spectrometry method. A total of 32 male painters were selected based on inclusion criteria. The mean blood lead level (BLL) in the painters was 8.1 ± 4.93 μg/dL. Pb levels in car and building painters were 9.42 ± 5.5 μg/dL and 6.7 ± 1.85 μg/dL, respectively. Pb concentration in none of the blood samples was more than 30 μg/dL. The prevalence of BLL ≥ 5 μg/dL and BLL ≥ 10 μg/dL was 97% and 19%, respectively. According to the findings, the rate of BLL among car painters was higher than building painters. Considering the presence of Pb in all blood samples, it seems necessary to increase the awareness of painters about the adverse effects of lead exposure even in low concentrations. However, the sample size in this study was small and more investigations are required in this regard.

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Maternal Knowledge and Practices towards Sanitation and Their Relationships with Occurrence of Diarrhoea in Children

International Journal of Public Health Science (IJPHS) ◽

10.11591/.v3i3.4694 ◽

2014 ◽

Vol 3 (3) ◽

pp. 206 ◽

Cited By ~ 1

Author(s):

Shriya Ankit Seksaria ◽

Mini K Sheth

Keyword(s):

Cross Sectional Study ◽

Personal Hygiene ◽

Food Hygiene ◽

Maternal Knowledge ◽

Cross Sectional ◽

The Past ◽

Hygiene Practices ◽

Childhood Morbidity ◽

The Mean ◽

Structured Questionnaire

<p>Diarrhoea, a major contributor of childhood morbidity and mortality is mostly caused by poor hygiene and sanitation. Literature reveal that hygiene practices at household levels greatly affects the occurrence of diarrhoea among children. A cross sectional study was conducted to determine association between hygiene knowledge and practices of mothers with occurrence of diarrhoea in young children below 3 years in the tribal villages of Gujarat. Structured questionnaire was used to elicit information on personal hygiene (PH), food Hygiene (FH), and environmental Hygiene (EH) practices of 536 mothers with children between 6-36 months of age. Past one month diarrhoeal episodes were recorded using the recall method. The mean percent scores for FH, PH and EH practices were 77%, 88% and 80% respectively. Almost 35% children suffered from diarrhoea in the past one month of which 10 were admitted to the hospital. Diarrhoeal incidences were associated with FH and EH practices (p<0.001) and not with PH practices. Improvement in the environmental and personal hygiene practices of the mothers can contribute largely in reducing the prevalence of diarrhoea among children in Chikhli taluka of Gujarat.</p>

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Hypertension and associated risk factors: a study among professional nursing

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.1262-12560-1-le.0506201109 ◽

2011 ◽

Vol 5 (6) ◽

pp. 1374

Author(s):

Ana Lucia Becker Vieira Billig ◽

Maria Claudia Irigoyen ◽

Silvia Goldmeier

Keyword(s):

Risk Factors ◽

Night Shift ◽

Cross Sectional Study ◽

Young Population ◽

Cross Sectional ◽

Questionnaire Measure ◽

Factores De Riesgo ◽

The Mean ◽

Associated Risk Factors ◽

Structured Questionnaire

ABSTRACTObjective: to identify the prevalence of hypertension and risk factors (RF) associated in nurses and nursing technicians in a general hospital, combining the results of the professions, shifts and working places. Methodology: this is about a cross-sectional study with two hundred professionals. It was applied a structured questionnaire, measure the stress (ISMA) and the measurements of BP, BMI and WC. Results: the mean age was 32,9 ± 8,9 , females 85.5%, white 91.5% and hypertension of 34%. For the multivariate model, factors associated with hypertension were the night shift, the age, the sex, the obesity, and the nursing profession. Conclusion: a rolling program of health education and a institution’s policy focused on prevention of risk factors should be adopted. For being a young population more sensitive as other measures of HRV measure is needed to refine results to be adopted by the institution because it is a young population and more sensitive measures of HRV as a measure is needed to refine results. Descriptors: hypertension; risk factors; nursing team.RESUMOObjetivo: identificar a prevalência de HAS e fatores de riscos (FR) associados em enfermeiros e técnicos de enfermagem em um Hospital geral, associando os resultados entre as profissões, turnos e locais de trabalho. Metodologia: trata-se de um estudo transversal com duzentos profissionais de enfermagem. Foi aplicado um questionário estruturado além de um inquérito para mensurar o stress (ISMA), a PA, o IMC e a CC. Resultados: a idade foi de 32,9 ± 8,9, do sexo feminino 85,5%, raça branca 91,5% e a HAS foi de 34%. Pelo modelo multivariado, o turno noturno, a idade,o sexo, a obesidade e os enfermeiros estavam associados com hipertensão. Conclusão: um programa continuado de educação em saúde e uma política da instituição enfocando a prevenção aos fatores de risco deverá ser adotada. Por tratar-se de uma população jovem outras medidas mais sensíveis como medida da VFC são necessárias para refinar resultados. Descritores: hipertensão; fatores de risco; equipe de enfermagem.RESUMENObjetivos: determinar la prevalencia de la hipertensión y factores de riesgo (FR) asociados en enfermeros y profesionales de enfermería en un Hospital General, combinando los resultados entre las profesiones, los turnos y lugares de trabajo. Metodología: estudio transversal compuesto de dos centenares de profesionales. Se aplicó un cuestionario estructurado, una encuesta para medir el estrés (ISMA) y la medición de la PA, el IMC y la CC. Resultados: edade 32,9 ± 8,9 mujeres (85,5%), los blancos (91,5%) y la HAS del 34%. Para el modelo multivariado, los factores asociados con la hipertensión fueron el turno de la noche, la edad, el sexo, la obesidad y la profesión de enfermero. Conclusión: un programa permanente de educación para la salud y una política de la institución dirigida a la prevención de factores de riesgo ha de ser adoptada. Por ser una población joven, otras medidas más sensibles de medida como la VFC se necesita para perfeccionar los resultados. Descriptores: hipertensión arterial; factores de riesgo; equipo de enfermería.

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Safe Blood Transfusion Practices among Nurses in a Major Referral Center in Ghana

Advances in Hematology ◽

10.1155/2021/6739329 ◽

2021 ◽

Vol 2021 ◽

pp. 1-13

Author(s):

Agnes Asare Bediako ◽

Rasheed Ofosu-Poku ◽

Andrews Adjei Druye

Keyword(s):

Blood Transfusion ◽

Blood Products ◽

Current Standard ◽

Training Experience ◽

Cross Sectional ◽

Knowledge Questionnaire ◽

The Mean ◽

Cross Sectional Design ◽

Safe Blood ◽

Structured Questionnaire

Errors in transfusion of blood and blood products can lead to preventable morbidity and mortality. Nurses constitute a significant aspect of the transfusion process as they are the last in the chain of getting blood directly to the patient. They must, therefore, be conversant with the current standard of national and international guidelines on blood transfusion and appropriate management of adverse transfusion events. This study assesses the knowledge and practices of blood transfusion safety among nurses at Komfo Anokye Teaching Hospital. A descriptive cross-sectional design was employed, and structured questionnaire (Routine Blood Transfusion Knowledge Questionnaire) was used to collect data from 279 nurses from seven clinical directorates of the hospital. The data were processed with Stata version 14.0. Variables were analyzed using descriptive statistics, and relationships were drawn using inferential statistics. Over 90% of the respondents had a minimum of a diploma in nursing or midwifery, 63% had performed blood transfusion at least 5 times, and 46% had never received any training on blood transfusion. The mean score obtained in all four categories of blood transfusion knowledge assessed was 29, with 54% of the respondents scoring below the mean. The highest overall score on knowledge was 53%. This indicates that nurses had poor knowledge regarding safe blood transfusion practices as stipulated in the clinical guidelines for blood transfusion by Ghana’s National Blood Service. There was no statistically significant relationship between training/experience and knowledge of safe blood transfusion practices. Regular and continuous update training and audit are needed to safeguard patient safety during blood transfusion.

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Acesso à insulinoterapia de usuários com diagnóstico de Diabetes Mellitus acompanhados em ambulatório especializado

Enfermagem em Foco ◽

10.21675/2357-707x.2020.v11.n2.2793 ◽

2020 ◽

Vol 11 (2) ◽

Author(s):

Mariana da Conceição Santana Lima ◽

Paulo Henrique Fernandes Santos ◽

Keila Cristianne Trindade Da Cruz ◽

Lucas Cardoso Dos Santos ◽

Valéria Bertonha Machado ◽

...

Keyword(s):

Diabetes Mellitus ◽

Health Care ◽

Cross Sectional Study ◽

University Hospital ◽

Comprehensive Health Care ◽

Cross Sectional ◽

The Public ◽

Comprehensive Health ◽

Distrito Federal ◽

Structured Questionnaire

Objetivo: Caracterizar o perfil e o acesso à insulinoterapia dos usuários com diagnóstico de Diabetes Melittus atendidos no Ambulatório de Endocrinologia de um hospital universitário do Distrito Federal. Método: Estudo transversal, realizado de abril a maio de 2019. A amostra constituiu-se de 60 participantes com 18 anos ou mais. Foi aplicado questionário estruturado e os dados descritivos analisados pelo software PSPP. Resultados: Verificou-se que a maioria (86,7%) são mulheres, que os participantes obtêm insulina (93,3%), antidiabéticos orais (50,0%) e insumos (93,3%) no serviço público, e que metade desses participantes os adquirem na unidade de saúde. Ainda metade (53,3%) relatou ter interrompido o tratamento devido à falta desses medicamentos. Conclusão: O estudo evidenciou as fragilidades no acesso às redes de saúde do Distrito Federal em decorrência da falta de investimentos na Atenção Básica e da cultura hegemônica, sendo urgente o investimento nas redes de cuidado à luz das políticas de acesso.Descritores: Acesso aos Serviços de Saúde; Diabetes mellitus; Níveis de Atenção à Saúde; Assistência Integral à Saúde. Objective: To characterize the profile and access to insulin therapy of users with diabetes mellitus treated in the Endocrinology Outpatient Clinic in an university hospital of Distrito Federal. Method: Cross-sectional study, performed from April to May 2019. The sample consisted of 60 participants with 18 years or more. A structured questionnaire was applied and the descriptive data analyzed by the PSPP software. Results: It was found that the majority (86.7%) were women, that participants obtain insulin (93.3%), oral antidiabetics (50.0%) and inputs (93.3%) in the public service, and that half of these participants acquire it at the health unit. Half (53.3%) reported having interrupted the treatment due to the lack of these medications. Conclusion: The study showed the weaknesses in access to networks of health of Distrito Federal due to the lack of investment in primary health care and the hegemonic culture, being urgent the investment in care networks of care in the light of the access policies.Descriptors: Health Services Accessibility; Diabetes Mellitus; Health Care Levels; Comprehensive Health Care. Objetivo: caracterizar el perfil y el acceso a la terapia con insulina de los usuarios diagnosticados con Diabetes Melittus atendidos en la Clínica Ambulatoria de Endocrinología de un hospital universitario en el Distrito Federal. Método: estudio transversal, realizado de abril a mayo de 2019. La muestra consistió en 60 participantes de 18 años o más. Se aplicó un cuestionario estructurado y los datos descriptivos fueron analizados por el software PSPP. Resultados: se encontró que la mayoría (86.7%) son mujeres, los participantes reciben insulina (93.3%), antidiabéticos orales (50.0%) e insumos (93.3%) en el servicio público, y la mitad de estos participantes los adquieren en el centro de salud. Todavía la mitad (53.3%) informó suspender el tratamiento debido a la falta de estos medicamentos. Conclusión: El estudio mostró las debilidades en el acceso a las redes de salud en el Distrito Federal debido a la falta de inversiones en atención primaria y cultura hegemónica, siendo urgente invertir en redes de atención a la luz de las políticas de acceso.Palabras clave: Accesibilidad a los Servicios de Salud; Diabetes Mellitus; Niveles de Atención de Salud; Atención Integral de Salud.

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Five-Years Review of Colorectal Carcinoma in Iran-Guilan During 2005-2010; An Epidemiologic Study.

10.21203/rs.3.rs-435194/v1 ◽

2021 ◽

Author(s):

Mohammad Tolouei ◽

Manouchehr Aghajanzadeh ◽

Morteza Taheri

Keyword(s):

Screening Program ◽

Epidemiologic Study ◽

High Rate ◽

Common Symptom ◽

Definite Diagnosis ◽

Cross Sectional ◽

The Public ◽

The Mean ◽

Race Ethnicity ◽

Epidemiologic Features

Abstract Purpose: Different factors including race, ethnicity, nutritional, environmental, and socioeconomic factors affect the prevalence of CCC and result in special epidemiologic features in the different geographic locations throughout the world.Methods: This survey was a cross-sectional retrospective descriptive study that investigated all of the operated patients with a definite diagnosis of CCC from March of 2005 to March of 2010 in the Guilan province of Iran.Results: Of a total of 311 patients, 55.3% were male and 44.7% female. The mean age was 58.91±14.29 years old. The mean average age was 60.76±4.38 years for men and 56.62±13.88 years for women. 159 patients had rectum carcinoma and 152 patients had colon carcinoma.The duration of the symptoms was less than six months in 56.9% of the patients and more than six months in 34.1%. The most common primary site of the tumor was the rectum (159 patients). The most common symptom was rectorrhagia. In the patients with FAP, the mean age was 26 years lower than patients without FAP.The mean Hemoglobin level at planning for surgery was 11.37±2.02 with arrange of 4.7 to 16.4 mg/dl.Conclusion: Considering the ever-increasing the disease and decrease in the age of affliction reported in this study, it is considered to the evaluating to the risk factors, survey the more epidemiologic study, promote the public and special screening program, and timely therapeutic intervention. Moreover, considering the high rate of rectosigmoid cases, it seems that fiber optic sigmoidoscopy has an important role in the screening and diagnosis of the disease.

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