scholarly journals Vernal Keratoconjunctivitis- A Survey on Practice Patterns and Perspectives of Indian Ophthalmologists

2021 ◽  
Author(s):  
Shwetha N Chandranna ◽  
Ratthiga Balagopal ◽  
Santosh Achappa ◽  
Kaushal Kumar
Keyword(s):  
Practice Patterns ◽  
Holistic Approach ◽  
Vitamin D Supplementation ◽  
Vernal Keratoconjunctivitis ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Allergic Condition ◽  
Spss Software ◽  
Structured Questionnaire

Introduction: Vernal Keratoconjunctivitis (VKC) is a common chronic allergic condition mostly affecting children and their childhood. At present, the choice of medication varies greatly for the same severity of disease from one ophthalmologist to another. A standardised grading system and a comprehensive approach towards VKC including Quality of Life (QOL) assessment is the need of the hour. Aim: To learn the practice patterns and perspectives of Indian Ophthalmologists in the management of VKC and to propose strategies for the holistic approach. Materials and Methods: A cross-sectional survey was conducted in July 2020. A semi-structured questionnaire was sent via Google form to 200 ophthalmologists. Statistical analysis used: Data was entered in excel and analysis was performed using the Statistical Package of Social Sciences (SPSS) software version 20. Results: Out of 200 ophthalmologists, 146 (73%) participated in the survey. Among the participants, 43.8% used combination therapy in the management of VKC and 68.5% resorted to steroid therapy in severe cases. Tacrolimus (0.03%) was the most preferred immunomodulator among 56% ophthalmologists and only 11% assessed QOL in the patients periodically. Conclusion: Majority (around 2/3rd) felt immunotherapy and vitamin D supplementation can be tried in the management of VKC and there was a consensus on administering a QOL questionnaire in all patients with VKC in future which would provide holistic care.

QOLP-01. EXPERIENCES FROM PATIENT, CAREGIVER, AND PHYSICIAN SURVEYS ON DIAGNOSIS AND TREATMENT OF BRAIN METASTASES

2021 ◽  
Vol 23 (Supplement_6) ◽  
pp. vi182-vi182
Author(s):  
Albert Kim ◽  
Gi-Ming Wang ◽  
Kristin Waite ◽  
Scott Elder ◽  
Avery Fine ◽  
...  
Keyword(s):  
Brain Metastases ◽  
Practice Patterns ◽  
Checkpoint Inhibitors ◽  
Clinical Care ◽  
Unmet Need ◽  
High Yield ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Physician Recommendations

Abstract The development of brain metastases (BM) is one of the most feared complications of cancer due to the substantial neuro-cognitive morbidity and grim prognosis. In the past decade, targeted therapies and checkpoint inhibitors have demonstrated remarkable intracranial response rates for tumors of multiple histologies. As overall survival for these patients improves, there is a growing need to identify issues surrounding patient survivorship and to standardize physician practice patterns for these patients. To date, there has not been an adequate study to specifically explore these questions of survivorship and practice standardization for patients with advanced cancer and BM. Here, we present results from a cross-sectional survey in which we analyze responses from 237 patients, 209 caregivers, and 239 physicians to identify areas of improvement in the clinical care of BM. In comparing physician and patient/caregiver responses, we found a disparity in the perceived discussion of topics pertaining to important aspects of BM clinical care. We identified variability in practice patterns for this patient population between private practice and academic physicians. Many physicians continue to have patients with BM excluded from clinical trials. Finally, we obtained patient/physician recommendations on high-yield areas for federal funding to improve patient quality of life. Therefore, by identifying potential areas of unmet need, we anticipate this wealth of actionable information will translate into tangible benefits for both patients and caregivers. Future studies are needed to validate our findings.

scholarly journals Assessing the Challenges of Pharmaceutical Practices during COVID-19 Pandemic in Nigeria

2021 ◽  
Vol 9 (3) ◽  
pp. 271-283
Author(s):  
Nnenna Genevieve Ekechukwu
Keyword(s):  
Survey Design ◽  
Sampling Technique ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
The Road ◽  
Security Personnel ◽  
Spss Software ◽  
On The Road ◽  
Structured Questionnaire

Pharmacies are the frontline of the pandemic and critical to maintaining public health. The emergence of COVID-19 brought unprecedented challenges and changes to all nations of the world. In the light of this, this study assessed the challenges of pharmaceutical practices in Nigeria during COVID-19. A descriptive cross-sectional survey design was adopted, and the data were collected from 1,200 respondents through the interview schedule and structured questionnaire using a systematic random sampling technique. A total of 1,118 copies of the questionnaire were retrieved, coded, and analysed using descriptive and inferential statistics aided by the SPSS software version 23. The study discovered different factors that influenced the effective practice of pharmacists during the COVID-19 pandemic. The findings of this study revealed that the majority, 591(52.9%) of the pharmacists, encountered difficulties on the road with security personnel while on essential duty and also found it ‘somewhat difficult to work during the pandemic. The results of Factor Analysis grouped the major challenges into material and financial constraints. The results showed two orthogonal factors pharmaceutical practices, which were derived with the total explanation of 65.35% of the variance. Only variables with constraints loadings of 0.70 and above were used in naming the constraints. The material constraint has the greatest impact on effective practices of pharmacists to provide treatment for illnesses during COVID-19 with a 44.16% contribution. There is a need for government and institution supports for better and effective pharmaceutical practices before, during, and after any sort of pandemic, especially in drugs supplies and financial assistance. Keywords: Assessment, Challenges, COVID-19 Pandemic, Pharmaceutical Practices, Nigeria.

scholarly journals A cross sectional study of quality of life in patients with enterostomy

2019 ◽  
Vol 6 (10) ◽  
pp. 3767
Author(s):  
Suchin S. Dhamnaskar ◽  
Gopinath Karamshi ◽  
Anil Baid ◽  
Nishant Gobbur ◽  
Dhaval Vasa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Demographic Data ◽  
Holistic Approach ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Stoma Creation ◽  
Sexual Rehabilitation ◽  
Domains Of Life

Background: Enterostomy is one of the commonest surgeries performed in general surgical practise. It leads to considerable alteration in life style of patients after surgery in the form of physical, mental, social, spiritual, economic, educational, vocational, marital, sexual problems. We designed study to assess the extent of these affections on quality of life (QOL) and suggest measure to improve it.Methods: We conducted a cross sectional survey using validated City of Hope-quality of life-Ostomy questionnaire questionnaire which was administered to patients following up for routine stoma care in stoma clinic of our hospital. We included patients who have undergone stoma creation between 2 months to 1 year prior to taking the QOL questionnaire. Demographic data and data collected about four main domains of QOL namely, physical, psychological, social and spiritual was statistically analysed for significance, dependence and correlation.Results: Commonest stoma type in our study was temporary ileostomy done for perforative peritonitis. Presence of ostomy makes significant impact on patients clothing style, occupation and sexual activity and suffered depression. Majority of patients (82.5%) fell in fair to average when their scores of QOL were compared. All four domains of life correlated positively to each other.Conclusions: As all domains of life are related to each other intervention to improve any one of them will cause resultant improvement of all domains of QOL. We suggest holistic approach by pre and postoperative counselling, training by trained enterostomal therapists, psychiatrist, treating surgeons and economic and sexual rehabilitation.

scholarly journals Cross-sectional survey of patients, caregivers, and physicians on diagnosis and treatment of brain metastases

2021 ◽  
Author(s):  
Albert E Kim ◽  
Gi-Ming Wang ◽  
Kristin A Waite ◽  
Scott Elder ◽  
Avery Fine ◽  
...  
Keyword(s):  
Brain Metastases ◽  
Practice Patterns ◽  
Checkpoint Inhibitors ◽  
Clinical Care ◽  
Unmet Need ◽  
High Yield ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Physician Recommendations

Abstract Background The development of brain metastases (BM) is one of the most feared complications of cancer due to the substantial neuro-cognitive morbidity and grim prognosis. In the past decade, targeted therapies and checkpoint inhibitors have demonstrated promising intracranial response rates for tumors of multiple histologies. As overall survival for these patients improves, there is a growing need to identify issues surrounding patient survivorship and to standardize physician practice patterns for these patients. To date, there has not been an adequate study to specifically explore these questions of survivorship and practice standardization for patients with advanced cancer and BM. Methods Here, we present results from a cross-sectional survey in which we analyze responses from 237 patients, 209 caregivers, and 239 physicians to identify areas of improvement in the clinical care of BM. Results In comparing physician and patient/caregiver responses, we found a disparity in the perceived discussion of topics pertaining to important aspects of BM clinical care. We identified variability in practice patterns for this patient population between private practice and academic physicians. Many physicians continue to have patients with BM excluded from clinical trials. Finally, we obtained patient/physician recommendations on high-yield areas for federal funding to improve patient quality of life. Conclusion By identifying potential areas of unmet need, we anticipate this wealth of actionable information will translate into tangible benefits for both patients and caregivers. Future studies are needed to validate our findings.

scholarly journals Interactions among Ecological Factors That Explain the Psychosocial Quality of Life of Children with Complex Needs

2010 ◽  
Vol 2010 ◽  
pp. 1-10 ◽  
Author(s):  
Sandy Thurston ◽  
Louise Paul ◽  
Chenglin Ye ◽  
Patricia Loney ◽  
Gina Browne ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Real Life ◽  
Ecological Factors ◽  
Holistic Approach ◽  
Family Impact ◽  
Family Needs ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Complex Needs

Purpose. To explore the associations and interactions among ecological factors and explain the psychosocial quality of life of children with complex needs.Methods. In this cross-sectional survey consenting parents were identified by the Children's Treatment Network. Families were eligible if the child from 0 to 19 years, resided in Simcoe/York, and there were multiple family needs. Regression analysis was used to explore associations and interactions.n=429.Results. Younger children, without conduct disorder, without hostile and punitive parenting and with low adverse family impact demonstrated the highest levels of psychosocial quality of life. Statistically significant interactions between processes of care and parent variables highlight the complexity of real life situations.Conclusions. It is not possible to fully understand the child's psychosocial quality of life in complex needs families by considering only simple associations between ecological factors. A multitude of factors and interactions between these factors are simultaneously present and the care of these families requires a holistic approach.

Practice Patterns and Attitudes of Surgeons on the Use of Prophylactic Mesh to Prevent Parastomal Hernia: A Cross-sectional Survey

2019 ◽  
Vol 65 (9) ◽  
pp. 14-23 ◽  
Author(s):  
Manuel Lopez-Cano ◽  
Hobart W Harris ◽  
John P Fisher ◽  
Jose Antonio Pereira ◽  
Josep M Garcia-Alamino ◽  
...  
Keyword(s):  
Parastomal Hernia ◽  
Practice Patterns ◽  
Cross Sectional Survey ◽  
Prophylactic Mesh ◽  
Cross Sectional

Access of Key Population to Available HIV and TB Services in Nepal: A Cross Section Study

2019 ◽  
Vol 17 (1) ◽  
pp. 17-23
Author(s):  
B.B. Subba ◽  
N. Rimal ◽  
B.M. Shrestha
Keyword(s):  
Viral Load ◽  
Cross Section ◽  
General Knowledge ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Key Population ◽  
Mdr Tb ◽  
Study Population ◽  
Control And Management ◽  
Structured Questionnaire

Introduction: TB is considered one of the opportunistic infection among PLHIV. The increasing burden of HIV/TB co-infection among key population cause problem to maintain adherence to ART and DOTS services. The emergence of MDR-TB is one of the greatest challenge to control and management of both diseases. However, having knowledge and information of both diseases are important role to access the available HIV/TB services. Methods: A cross-sectional survey was conducted among key population who had HIV/TB co-infection in two-epidemic zone of Nepal. A pretested semi-structured questionnaire was used to collect data. ANOVA test was done to analyze the collected data by using SPSS version 20.0. Results: A total of 343 HIV/TB co-infected individuals were enrolled to the study. Most of participants were from ART and DOTS clients. Therefore, the study found that there was significance difference found between knowledge about TB (F=4.400, p= 0.005), causative agent of TB (F=3.160, p=0.025), risk of TB illness among PLHIV (F=8.491, p=0.001) and among key affected population. Moreover, there was significance difference found between access to OI treatment (F=5.113, p=0.002) and access to viral load (F=4.642, p=0.003) among key study population. In gender perspective, there was no significance difference to use and access to available HIV/TB services. Conclusion: The general knowledge on HIV/TB co-infection was significant association with key population. The knowledge on HIV/TB and access to NGOs’ help can significant effect to access the available HIV and TB services.

scholarly journals Health-related quality of life in Chinese population with non-alcoholic fatty liver disease: a national multicenter survey

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Rui Huang ◽  
Jian-Gao Fan ◽  
Jun-Ping Shi ◽  
Yi-Min Mao ◽  
Bing-Yuan Wang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Liver Disease ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Alcoholic Fatty Liver ◽  
Related Quality ◽  
Health Related ◽  
Independent Risk Factors ◽  
Alcoholic Fatty Liver Disease

Abstract Background Health Related Quality of Life (HRQL) is a multi-dimensional construct that can comprehensively evaluate the patient’s health status, including physical, emotional, mental and social well-being. In this study, we aimed to evaluate the impact of non-alcoholic fatty liver disease (NAFLD) on HRQL in a Chinese population. Methods In this national multicenter cross-sectional survey, patients with NAFLD were enrolled. Chronic Liver Disease Questionnaire (CLDQ)-NAFLD was used to qualify HRQL. Univariate and multivariate analysis were used to identify independent risk factors of HRQL. Results A total of 5181 patients with NAFLD from 90 centers were enrolled in this study (mean age, 43.8 ± 13.3 years; male, 65.8%). The overall CLDQ score was 5.66 ± 0.89. Multivariate logistic regression analysis showed that body mass index (BMI: HR, 1.642; 95% CI, 1.330–2.026), alanine transaminase (ALT: HR, 1.006; 95% CI, 1.001–1.011), triglyceride (HR, 1.184; 95% CI, 1.074–1.305), disease severity (HR, 3.203; 95% CI, 1.418–7.232) and cardiovascular disease (HR, 4.305; 95% CI, 2.074–8.939) were independent risk factors for overall CLDQ score. In the logistic analyses of individual domain, BMI and triglyceride were independent risk factors of all domains. ALT, disease severity, diabetes, depression and cardiovascular disease were influencing factors for the CLDQ score of several domains. Conclusions This national multicenter cross-sectional survey in China indicated that the HRQL in patients with NAFLD was impaired. HRQL was found to be significantly associated with sociodemographic and clinical factors. Attention should be paid to the optimally managing care of patients with NAFLD to improve their HRQL.

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