scholarly journals Current Status of Distress Screening in Designated Cancer Hospitals: A Cross-Sectional Nationwide Survey in Japan

2016 ◽  
Vol 14 (9) ◽  
pp. 1098-1104 ◽  
Author(s):  
Toru Okuyama ◽  
Yoshiyuki Kizawa ◽  
Tatsuya Morita ◽  
Hiroya Kinoshita ◽  
Megumi Uchida ◽  
...  
Keyword(s):  
Nationwide Survey ◽  
Current Status ◽  
Distress Screening ◽  
Cross Sectional

scholarly journals Current status of integrating oncology and palliative care in Japan: A nationwide survey

2019 ◽  
Author(s):  
Yu Uneno ◽  
Kazuki Sato ◽  
Tatsuya Morita ◽  
Mayumi Nishimura ◽  
Satoko Ito ◽  
...  
Keyword(s):  
Palliative Care ◽  
Cancer Control ◽  
Nationwide Survey ◽  
Daily Practice ◽  
Current Status ◽  
Full Time ◽  
International Consensus ◽  
Cross Sectional ◽  
Symptom Screening ◽  
The Government

Abstract Background: Palliative care (PC) is increasingly recognized as essential for oncology care, and several academic societies strongly recommend integrating oncology and palliative care (IOP) in daily practice. Similarly, the Japanese government encouraged the implementation of IOP through the Cancer Control Act of 2007; however, its detailed progress remains unclear. Therefore, this cross-sectional nationwide survey was conducted to investigate the current status and hospital executive physicians’ perception of IOP. Methods: The questionnaire was developed based on IOP indicators with international consensus. It was distributed to executive physicians at all government-designated cancer hospitals (DCHs, n = 399) and matched non-DCHs (n = 478) in November 2017 and the results were compared. Results: In total, 269 (67.4%) DCHs and 259 (54.2%) non-DCHs responded. The number of PC resources in DCHs was significantly higher than those in non-DCHs (e.g., full-time PC physicians and nurses, 52.8% vs. 14.0%, p < 0.001; availability of outpatient PC service ≥3 days per week, 47.6% vs. 20.7%, p < 0.001). Routine symptom screening was more frequently performed in DCHs than in non-DCHs (65.1% vs. 34.7%, p < 0.001). Automatic trigger for PC referral availability was limited (e.g., referral using time trigger, 14.9% vs. 15.3%, p = 0.700). Education and research opportunities were seriously limited in both types of hospitals. Most executive physicians regarded IOP as beneficial for their patients (95.9% vs. 94.7%, p = 0.163) and were willing to facilitate an early referral to PC services (54.7% vs. 60.0%, p < 0.569); however, the majority faced challenges to increase the number of full-time PC staff, and <30% were planning to increase the staff members. Conclusions: This survey highlighted a considerable number of IOP indicators met, particularly in DCHs probably due to the government policy. Further investigation is warranted whether those indicators effectively work in real clinical situations.

Health Literacy and Medication Literacy in Saudi Arabia: Current Status

2019 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Rasha A. Almubark ◽  
Mada Basyouni ◽  
Ashjan Alghanem ◽  
Amani S. Alqahtani ◽  
Nasser F. BinDhim
Keyword(s):  
Chronic Disease ◽  
Health Literacy ◽  
Health Information ◽  
Information Sources ◽  
Nationwide Survey ◽  
Current Status ◽  
Common Source ◽  
Web Pages ◽  
Cross Sectional ◽  
Low Health Literacy

Background: Low health literacy and medication literacy can be associated with adverse medication-related events. The objectives of this research were to characterize medication use, describe health information sources, and characterize medication literacy in the KSA population. Methods: A cross-sectional nationwide survey was conducted among Saudi residents aged 18 years or above. Results: A total of 3,557 surveys were available for analysis (men = 1,811 and women = 1,746). Respondents were concentrated in younger categories, and each region was represented by 7% to 8% of respondents by design. Twenty-three percent of respondents (n = 825) reported having at least one chronic disease. A total of 1,882 (53%) of respondents reported ever looking for health information; of those, web pages were the most popular information sources. Among those taking medication for chronic disease, only 61% agreed that they knew how their medication should be monitored, 51% agreed that they knew what to do if they missed a dose, and 50% agreed that they knew their drug's side effects. Conclusion: This study's results suggest that interventions focused on medication literacy and tailored to prevalent chronic disease groups should be explored. Because the most common source of health information is web pages, interventions to improve overall health information literacy, especially pertaining to online medication information, should be studied.

scholarly journals What Do We Need to Improve Communication Skills Training in China: Suggestions from Nationwide Survey

2021 ◽  
Author(s):  
Yurong Ge ◽  
Yuko Takeda ◽  
Peifeng Liang ◽  
Shilin Xia ◽  
Marcellus Nealy ◽  
...  
Keyword(s):  
Communication Skills ◽  
Public Involvement ◽  
Mainland China ◽  
Nationwide Survey ◽  
Skills Training ◽  
Patient And Public Involvement ◽  
Current Status ◽  
Cross Sectional ◽  
Doctor Patient Communication ◽  
Medical Colleges

Abstract Background: To investigate the current status of simulated patient (SP) program education in mainland China. Methods: It is a cross sectional surveys to SP program with qualitative research method and statistical analysis. The study was conducted in 79 medical colleges in mainland China. Questionnaires were distributed to 79 medical colleges in mainland China, and 68 were completed and returned. Of those, we selected 64 valid feedback (valid response rate 81.0%). We compared the current status of SP, the origin of SP, SP training course, challenge, and future plan of 79 medical colleges in mainland China. Results: The number of SP program education in medical college with long clinical programs was significantly higher than that in medical colleges with single 5-year clinical program (p<0.01). Communication training accounted for 72.9% in SP program education, while the proportion was 90% in those colleges that planned to initiate SP program education. SP recruitment included students (56.8%), residents (48.7%), medical staffs (32.4%) and teachers (32.4%). The colleges, planning a SP program, preferred teachers (80%) and students (55%). In OSCE, a co-scoring from both SPs and teachers occupied a higher proportion in interrogation station and doctor-patient communication station. The obstacles were SP team instability, insufficient fund, lack of evaluation criterion, and few courses. Conclusions: SP program has advantage of improving doctor-patient relationship. Patient and public involvement will benefit from an increase for resident proportion in SP members. Overcoming the obstacles contributes to expanding the utilization of SP program and further improving student’s communication skills.

The current status of bereavement follow-up in Japanese emergency departments: A cross-sectional nationwide survey

2020 ◽  
Vol 52 ◽  
pp. 100872
Author(s):  
Yoshiyasu Ito ◽  
Miyuki Obana ◽  
Daisuke Kawakami ◽  
Noriko Murakami ◽  
Yukihiro Sakaguchi
Keyword(s):  
Emergency Departments ◽  
Nationwide Survey ◽  
Current Status ◽  
Cross Sectional

Current status of helminthiases in Thailand: A cross-sectional, nationwide survey, 2019

Acta Tropica ◽  
2021 ◽  
pp. 106082
Author(s):  
Oranard Wattanawong ◽  
Sopon Iamsirithaworn ◽  
Thongroo Kophachon ◽  
Worayuth Nak-ai ◽  
Ampas Wisetmora ◽  
...  
Keyword(s):  
Nationwide Survey ◽  
Current Status ◽  
Cross Sectional

scholarly journals Current status of integrating oncology and palliative care in Japan: A nationwide survey

2020 ◽  
Author(s):  
Yu Uneno ◽  
Kazuki Sato ◽  
Tatsuya Morita ◽  
Mayumi Nishimura ◽  
Satoko Ito ◽  
...  
Keyword(s):  
Palliative Care ◽  
Cancer Control ◽  
Nationwide Survey ◽  
Daily Practice ◽  
Current Status ◽  
Full Time ◽  
International Consensus ◽  
Cross Sectional ◽  
Symptom Screening ◽  
The Government

Abstract Background: Palliative care (PC) is increasingly recognized as essential for oncology care, and several academic societies strongly recommend integrating oncology and palliative care (IOP) in daily practice. Similarly, the Japanese government encouraged the implementation of IOP through the Cancer Control Act of 2007; however, its detailed progress remains unclear. Therefore, this cross-sectional nationwide survey was conducted to investigate the current status and hospital executive physicians’ perception of IOP. Methods: The questionnaire was developed based on IOP indicators with international consensus. It was distributed to executive physicians at all government-designated cancer hospitals (DCHs, n = 399) and matched non-DCHs (n = 478) in November 2017 and the results were compared. Results: In total, 269 (67.4%) DCHs and 259 (54.2%) non-DCHs responded. The number of PC resources in DCHs was significantly higher than those in non-DCHs (e.g., full-time PC physicians and nurses, 52.8% vs. 14.0%, p < 0.001; availability of outpatient PC service ≥3 days per week, 47.6% vs. 20.7%, p < 0.001). Routine symptom screening was more frequently performed in DCHs than in non-DCHs (65.1% vs. 34.7%, p < 0.001). Automatic trigger for PC referral availability was limited (e.g., referral using time trigger, 14.9% vs. 15.3%, p = 0.700). Education and research opportunities were seriously limited in both types of hospitals. Most executive physicians regarded IOP as beneficial for their patients (95.9% vs. 94.7%, p = 0.163) and were willing to facilitate an early referral to PC services (54.7% vs. 60.0%, p < 0.569); however, the majority faced challenges to increase the number of full-time PC staff, and <30% were planning to increase the staff members. Conclusions: This survey highlighted a considerable number of IOP indicators met, particularly in DCHs probably due to the government policy. Further efforts are needed to address the serious research/educational gaps.

Contrast-enhanced ultrasound of the abdominal aorta – current status and future perspectives

VASA ◽  
2019 ◽  
Vol 48 (2) ◽  
pp. 115-125 ◽  
Author(s):  
Xin Li ◽  
Daniel Staub ◽  
Vasileios Rafailidis ◽  
Mohammed Al-Natour ◽  
Sanjeeva Kalva ◽  
...  
Keyword(s):  
Real Time ◽  
Vascular Diseases ◽  
Aneurysm Rupture ◽  
Vasa Vasorum ◽  
Current Status ◽  
Contrast Enhanced Ultrasound ◽  
Aortic Diseases ◽  
Cross Sectional ◽  
Vascular Abnormalities ◽  
Contrast Enhanced

Abstract. Ultrasound has been established as an important diagnostic tool in assessing vascular abnormalities. Standard B-mode and Doppler techniques have inherent limitations with regards to detection of slow flow and small vasculature. Contrast-enhanced ultrasound (CEUS) is a complementary tool and is useful in assessing both the macro- and microvascular anatomy of the aorta. CEUS can also provide valuable physiological information in real-time scanning sessions due to the physical and safety profiles of the administered microbubbles. From a macrovascular perspective, CEUS has been used to characterize aortic aneurysm rupture, dissection and endoleaks post-EVAR repair. With regard to microvasculature CEUS enables imaging of adventitial vasa vasorum thereby assessing aortic inflammation processes, such as monitoring treatment response in chronic periaortitis. CEUS may have additional clinical utility since adventitial vasa vasorum has important implications in the pathogenesis of aortic diseases. In recent years, there have been an increasing number of studies comparing CEUS to cross-sectional imaging for aortic applications. For endoleak surveillance CEUS has been shown to be equal or in certain cases superior in comparison to CT angiography. The recent advancement of CEUS software along with the ongoing development of drug-eluting contrast microbubbles has allowed improved targeted detection and real-time ultrasound guided therapy for aortic vasa vasorum inflammation and neovascularization in animal models. Therefore, CEUS is uniquely suited to comprehensively assess and potentially treat aortic vascular diseases in the future.

Psychological Resilience Provides No Independent Protection From Suicidal Risk

Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 130-139 ◽  
Author(s):  
Danica W. Y. Liu ◽  
A. Kate Fairweather-Schmidt ◽  
Richard Burns ◽  
Rachel M. Roberts ◽  
Kaarin J. Anstey
Keyword(s):  
Risk Factors ◽  
Well Being ◽  
Current Status ◽  
Psychological Resilience ◽  
Cross Sectional ◽  
Life Project ◽  
Resilience Factors ◽  
First Time

Abstract. Background: Little is known about the role of resilience in the likelihood of suicidal ideation (SI) over time. Aims: We examined the association between resilience and SI in a young-adult cohort over 4 years. Our objectives were to determine whether resilience was associated with SI at follow-up or, conversely, whether SI was associated with lowered resilience at follow-up. Method: Participants were selected from the Personality and Total Health (PATH) Through Life Project from Canberra and Queanbeyan, Australia, aged 28–32 years at the first time point and 32–36 at the second. Multinomial, linear, and binary regression analyses explored the association between resilience and SI over two time points. Models were adjusted for suicidality risk factors. Results: While unadjusted analyses identified associations between resilience and SI, these effects were fully explained by the inclusion of other suicidality risk factors. Conclusion: Despite strong cross-sectional associations, resilience and SI appear to be unrelated in a longitudinal context, once risk/resilience factors are controlled for. As independent indicators of psychological well-being, suicidality and resilience are essential if current status is to be captured. However, the addition of other factors (e.g., support, mastery) makes this association tenuous. Consequently, resilience per se may not be protective of SI.

scholarly journals Is polycystic ovary syndrome appropriately diagnosed by obstetricians and gynaecologists across China: a nationwide survey

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Deng Yan ◽  
Wang Yan-Fang ◽  
Zhu Shi-Yang ◽  
Ma Rui-Lin ◽  
Ding Xue-Song ◽  
...  
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Diagnostic Criteria ◽  
Polycystic Ovary ◽  
Final Analysis ◽  
Nationwide Survey ◽  
Care Quality ◽  
Cross Sectional Survey ◽  
Ovary Syndrome ◽  
Cross Sectional ◽  
Rotterdam Criteria

Abstract Background To describe the diagnostic criteria used and their application accuracy in the practice of polycystic ovary syndrome (PCOS) caring among obstetricians and gynaecologists across China. Methods This was an Online cross-sectional survey of Obstetricians and gynecologists involved in PCOS caring conducted via the largest continuing education platform of obstetrics and gynecology across China from September 2019 to November 2019. Results A total of 2,328 respondents were eligible for the final analysis. Of these, 94.5 % were general obstetricians and gynaecologists (Ge-ObGyn), and 5.5 % were reproductive endocrinologists (Re-ObGyn). Overall, the most frequently used criteria were the Androgen Excess and Polycystic Ovary Syndrome Society (AE-PCOS) criteria (48.2 %), followed by the Rotterdam criteria (35.7 %) and NIH criteria (12.1 %). Of the respondents, 31.3 % used their diagnostic criteria in their clinical practice. More respondents who chose the Rotterdam criteria could accurately apply the diagnostic criteria than those who chose the AE-PCOS criteria (41.2 % vs. 32.1 %, P < 0.001). Compared with Ge-ObGyn, Re-ObGyn were less likely to use the AE-PCOS criteria (adjusted odds ratio, 0.513; 95 % CI, 0.328–0.802; P < 0.05) and 1.492 times more likely to accurately use their criteria (95 % CI, 1.014–2.196; P < 0.05). Conclusions Less than one-third of obstetricians and gynaecologists across China could accurately use the diagnostic criteria they choose to diagnose PCOS. There is an urgent need to train obstetricians and gynaecologists on PCOS diagnosis in an effort to improve the medical care quality of patients with PCOS.

scholarly journals Adherence to treatment in paediatric patients – results of the nationwide survey in Poland

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Przemyslaw Kardas ◽  
Marek Dabrowa ◽  
Konrad Witkowski
Keyword(s):  
Professional Practice ◽  
Patient Adherence ◽  
Nationwide Survey ◽  
Full Potential ◽  
Strongly Correlated ◽  
Adherence To Treatment ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Paediatric Patients ◽  
High Prevalence

Abstract Background Due to high prevalence, non-adherence to prescribed treatment seriously undermines the effectiveness of evidence-based therapies in paediatric patients. In order to change this negative scenario, physicians need to be aware of adherence problem, as well as of possible solutions. Unfortunately, full potential of adherence-targeting interventions is still underused in Poland. Therefore, the aim of this study was to assess the knowledge, attitudes and behaviours toward non-adherence in Polish paediatricians. Methods An anonymous cross-sectional nationwide survey was conducted in the convenience sample of Polish doctors providing care to paediatric patients. The survey focused on the prevalence of non-adherence, its causes, and interventions employed. Primary studied parameter was perceived prevalence of non-adherence in paediatric patients. Reporting of this study adheres to STROBE guidelines. Results One thousand and thirty-three responses were eligible for analysis. Vast majority of respondents were female (85.9%), most of them worked in primary care (90.6%). The respondents represented all 16 Polish Voivodeships, with the biggest number coming from the Mazowieckie Voivodeship (n = 144, 13.9%). Survey participants believed that on average 28.9% of paediatric patients were non-adherent to medication. More than half of the respondents (n = 548, 53.0%) were convinced that their own patients were more adherent than average. Duration of the professional practice strongly correlated with a lower perceived prevalence of non-adherence. Professionals with more than 40 years of practice believed that the percentage of non-adherent patients was <=20% particularly often (OR = 3.82 (95% CI 2.11–6.93) versus those up to 10 years in practice). Out of all respondents, they were also most often convinced that their own patients were more adherent than the general population (P < 0.01). Consequently, they underestimated the need for training in this area. Conclusions Physicians taking care of Polish paediatric patients underestimated the prevalence of medication non-adherence and believed that this was a problem of other doctors. This optimistic bias was particularly pronounced in older doctors. These results identify important barriers toward improving patient adherence that are worth addressing in the pre- and post-graduate education of Polish physicians. They also put some light over the challenges that educational activities in this area may face.

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