scholarly journals Proficiency, Attitudes, and Practices in Breastfeeding of Participants in a Pediatric Congress

2021 ◽  
pp. 1-9
Author(s):  
Cynthia Francisca Xavier Costa de Assis Silva ◽  
Maria do Carmo Barros de Melo ◽  
Roberto Gomes Chaves ◽  
Maria Cândida Ferrarez Bouzada
Keyword(s):  
Health Professionals ◽  
Study Participant ◽  
Cross Sectional Study ◽  
World Health ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
The Public ◽  
Attitudes And Practices ◽  
The Subject ◽  
Health Organization

Objective: To investigate the proficiency, practices, and attitudes about breastfeeding of participants in a Pediatrics Congress. Methods: Cross-sectional study in which an online questionnaire was applied, using a specific QRcode, for each study participant, in June 2018. The questions were formulated according to the World Health Organization (WHO). Among the 39 questions, 13 identified the profile of the participants, 19 questions assessed the proficiency in breastfeeding and 7 questions the practices and attitudes. Results: Responses to 296 questionnaires were evaluated, 62.5% of which were health professionals and 37.5% were undergraduate health students. In assessing proficiency, the global average did not reach the expected minimum of 70%. But the highest proficiency averages were found among health professionals (p: 0.0136), among professionals with more recent degrees (p <0.0001), and those who performed most of their activity in the public sector (p: 0.018). 77% of health professionals and 73% of students assessed attitudes and practices about breastfeeding as appropriate. Conclusion: The low proficiency in the population studied points to the need for periodic training of professionals in breastfeeding and greater emphasis on undergraduate curricula in the health area on the subject.

scholarly journals Antibiotic Use in Poultry Production in Grenada

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Lindonne Glasgow ◽  
Martin Forde ◽  
Darren Brow ◽  
Catherine Mahoney ◽  
Stephanie Fletcher ◽  
...  
Keyword(s):  
Low Income ◽  
Antibiotic Use ◽  
Cross Sectional Study ◽  
World Health ◽  
Low Income Countries ◽  
Poultry Production ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Health Organization ◽  
High Level

Objective. Research is often lacking in low-income countries to substantiate the regulation of antibiotics in poultry production. Nonregulation of antibiotics in food animal industries has implications for human health. This study was conducted to provide an understanding of farmers’ knowledge, attitudes, and practices regarding the use of antibiotics in poultry production in Grenada. Method. A cross-sectional study was conducted in August-September, 2016, surveying 30 poultry farmers each having 500 or more chickens grown for commercial purposes. Results. More than 1000 birds were kept on 18 (60.0%) farms. Antibiotics were used on the majority of farms (25, 83.3%). More than half of the respondents, 19 (63.3%), stated they were only somewhat aware of issues related to the use of antibiotics and the majority, 21 (70.0%), were also unable to define antimicrobial resistance. There was inconsistency in the farmers’ knowledge about how and when to use antibiotics. There was also a high level of noncompliance with manufacturers’ recommendations for use of antibiotics. The respondents were not aware of local programs to monitor antibiotic use or manage antibiotic resistance in the poultry industry. Conclusion. Generally, the farmers’ knowledge and practices were inconsistent with recommendations by the World Health Organization for antibiotic stewardship. While low-income countries, such as Grenada, are challenged with the lack of resources to undertake research and implement responsive actions, this research highlights the need for some immediate measures of remedy, such as education of farmers and monitoring procurement and use of antibiotics, to reduce risk to public health.

KNOWLEDGE, ATTITUDE AND PRACTICES (KAP) TOWARDS AYURVEDA, YOGA & NATUROPATHY, UNANI, SIDDHA, HOMEOPATHY (AYUSH) AND ITS USE IN DENTISTRY AMONG DENTAL PROFESSIONALS.

2021 ◽  
pp. 69-71
Author(s):  
Atul Sankhyan ◽  
Nidhi Gupta ◽  
Preety Gupta ◽  
Krishana Priya ◽  
Surbhi Jindal ◽  
...  
Keyword(s):  
Rural Areas ◽  
Dental Health ◽  
Medical Knowledge ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Dental Curriculum ◽  
Health Organization ◽  
Dental Professionals

WHO (World Health Organization) accepts that traditional systems will continue to play an important part in providing services to very large numbers of people, particularly in rural areas India has rich tradition of healing. A vast amount of medical knowledge has evolved in India over thousands of years, through trial and error in exchange and assimilation between diverse cultures. . In recent times, dental health care approaches also used holistic methods like Ayurveda, Homeopathy ad Naturopathy etc in managing diseases and conditions related to oral and related structures. Objective: To assess Knowledge, Attitudes and Practices (KAP) towards Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy (AYUSH) and its use in Dentistry among Dental Professionals. Methodology: A cross sectional study was conducted among n=400 dental professionals of dental colleges in and around Chandigarh. Questionnaire was used and data was analyzed using SPSS 21.ver. Results: Out of total 400 subjects 163(41%) were males and 237(59%) were females. When knowledge of AYUSH is assessed 63% had knowledge about term complementary and alternative medicine, As much as 59% subjects wished to learn AYUSH and its use in dentistry. Among users of AYUSH treatment 73% subjects found it effective. Conclusion: Majority of subjects have a positive attitude towards AYUSH and wished to learn its use in dentistry. This makes us feel that AYUSH can be integrated with existing dental curriculum.

scholarly journals Religion Influences Community Adherence to COVID-19 Guidelines in Uganda

2020 ◽  
Author(s):  
Isaac Echoru ◽  
keneth Iceland Kasozi ◽  
Ibe Michael Usman ◽  
Fred Ssempijja ◽  
Emmanuel Tiyo Ayikobua ◽  
...  
Keyword(s):  
Public Health ◽  
World Health Organization ◽  
Religious Practice ◽  
World Health ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
National Implementation ◽  
The World ◽  
Health Organization

Abstract BackgroundSuccess of public health government programs depends on effective partnerships between religious institutions, policy makers and medical professionals. Directives from the World Health Organization (WHO) against social gatherings to control COVID-19 transmission have negatively impacted religious-political partnerships. Compliance of rural communities to national lockdowns requires support from community faith leaders. Across the African sub-continent faith plays an important role within communities that display diverse religious practice. Specific guidelines to prevent community transmission and spread of novel coronavirus 2019 (COVID-19) are however, scarce, complicating adherence to best practice as defined by the World Health Organization (WHO). During the Ebola epidemic in Africa, faith groups played a crucial role in spreading information from the WHO to control community disease transmissions. MethodsHere we examined knowledge, attitudes and practices for COVID-19 among market vendors, of faith, in South-Western Uganda. A cross sectional study was undertaken among rural market vendors (n=248) in southwestern Uganda was undertaken using an online questionnaire.ResultsMost moslems (72%) and protestants (70%) were aware that COVID-19 could present symptomatically and the challenges for control of COVID-19 in Uganda. Definitive knowledge of COVID-19 transmission dynamics was most prevalent among individuals of Protestant faith (70%). Most moslems (66%) interviewed found it difficult to comply with public health measures (lockdowns and self-isolation) while most pentecostals (64%) considered wearing as face mask to be impractical. Such discrepancies within a tight knit community and religious groupings in relation to practice shows a need to strengthen and revise policy for the national implementation of COVID-19 guidelines. ConclusionEngagement from religious leaders to encourage their followers to abide to COVID-19 guidelines would facilitate Africa’s COVID-19 response to become more effective addressing key areas of non-compliance that undermine control e.g. a majority of Pentecostal Christians are hesitant to be associated with alcohol-based hand sanitizers.

scholarly journals Antibiotic use: evaluating knowledge, attitude and practices among medical students in a sub Himalayan state

2017 ◽  
Vol 6 (10) ◽  
pp. 2516 ◽  
Author(s):  
Rajiv Kumar Gupta ◽  
Parveen Singh ◽  
Renu Rani ◽  
Rashmi Kumari ◽  
Bhavna Langer ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Medical Students ◽  
Viral Infections ◽  
Antibiotic Use ◽  
Cross Sectional Study ◽  
World Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Health Organization

Background: The growing concern about antibiotic resistance, of late, led World Health Organization to declare it as World Health Day theme in 2011. Knowledge spreads awareness and understanding by melting the barriers of ignorance while attitudes and practices have a bearing on the health related behaviour. The present study aims at evaluating the knowledge, attitudes and practices of medical students towards antibiotic usage.Methods: The present cross-sectional study was conducted among the Pre-final medical students (6th / 7th semester) who participated in the questionnaire survey on knowledge, attitude and practice towards antibiotics usage. The data was analysed and Chi-square was used as test of significance.Results: Overall, 132 students were interviewed. Majority (96.2%) had heard of antibiotic resistance. About 22% of the sample stated that antibiotics can cure viral infections, among them female being in the higher proportion (p<0.05). Majority (>90%) agreed that antibiotic resistance is a serious problem and had positive attitude about population awareness campaign regarding antibiotic resistance. Among practices, higher proportion of male respondents preferred antibiotics in case of cough and sore throat. (p<0.05).Conclusions: Despite being Pre-final MBBS students, the results have revealed that knowledge and attitude of the respondents were not up to the desired levels. The practices regarding use of antibiotics were more or less adequate. For effective curriculum, thorough knowledge and rational prescription of antibiotics needs to be reinforced among medical students both before and during internship.

Evaluation of Drug Use Based on WHO Prescribing Indicator in Mizan- Tepi University Teaching Hospital, south Western Ethiopia: A Cross Sectional Study

2020 ◽  
Vol 15 ◽  
Author(s):  
Solomon Hambisa ◽  
Rediet Feleke ◽  
Ameha Zewudie ◽  
Mohammed Yimam
Keyword(s):  
Drug Use ◽  
World Health Organization ◽  
Teaching Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
World Health ◽  
Sectional Study ◽  
Hospital Data ◽  
Cross Sectional ◽  
Health Organization

Background:: Rational drug use comprises aspects of prescribing, dispensing and patient use of medicines for different health problems. This study is aimed to assess drug prescribing practice based on the world health organization prescribing indicators in Mizan-Tepi University teaching hospital. Methods:: An institutional based retrospective cross sectional study was conducted to evaluate prescribing practices in Mizan-Tepi University teaching hospital. Data were collected based on World health organization drug use indicators using prescription papers. 600 prescriptions dispensed through the general outpatient pharmacy of the hospital were collected by systematic random sampling method from prescriptions written for a 1-year time in Mizan-Tepi University teaching hospital. Results:: The present study found that the average number of drugs per prescription was 2.04 ± 0.87 in Mizan-Tepi University teaching hospital with a range between 1 and 5. Prescribing by generic name was 97.6 % and 47.8% of prescriptions contained antibiotics in the hospital. 27.7% of prescriptions contained at least one injectable medication in Mizan-Tepi University teaching hospital. From prescribed drugs, 96.7% of them were prescribed from Ethiopian essential drug list. Conclusion:: Present study indicated that the average number of drugs prescribed per encounter, the percentage of generic prescribing and prescribing from the EDL were close to optimal value. However, the percentage of encounters with antibiotics and injections prescribed were found be very high. Thus, the study highlights some improvements in prescribing habits, particularly by focusing on the inappropriate consumption of antibiotics and injections.

scholarly journals Evaluation of the Use of Shared Decision Making in Breast Cancer: International Survey

2021 ◽  
Vol 18 (4) ◽  
pp. 2128
Author(s):  
Marta Maes-Carballo ◽  
Manuel Martín-Díaz ◽  
Luciano Mignini ◽  
Khalid Saeed Khan ◽  
Rubén Trigueros ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Shared Decision Making ◽  
Health Professionals ◽  
Cross Sectional Study ◽  
Shared Decision ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Professional Societies ◽  
New Policies

Objectives: To assess shared decision-making (SDM) knowledge, attitude and application among health professionals involved in breast cancer (BC) treatment. Materials and Methods: A cross-sectional study based on an online questionnaire, sent by several professional societies to health professionals involved in BC management. There were 26 questions which combined demographic and professional data with some items measured on a Likert-type scale. Results: The participation (459/541; 84.84%) and completion (443/459; 96.51%) rates were high. Participants strongly agreed or agreed in 69.57% (16/23) of their responses. The majority stated that they knew of SDM (mean 4.43 (4.36–4.55)) and were in favour of its implementation (mean 4.58 (4.51–4.64)). They highlighted that SDM practice was not adequate due to lack of resources (3.46 (3.37–3.55)) and agreed on policies that improved its implementation (3.96 (3.88–4.04)). The main advantage of SDM for participants was patient satisfaction (38%), and the main disadvantage was the patients’ paucity of knowledge to understand their disease (24%). The main obstacle indicated was the lack of time and resources (40%). Conclusions: New policies must be designed for adequate training of professionals in integrating SDM in clinical practice, preparing them to use SDM with adequate resources and time provided.

scholarly journals The impact of coronavirus outbreak on breastfeeding guidelines among Brazilian hospitals and maternity services: a cross-sectional study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Walusa Assad Gonçalves-Ferri ◽  
◽  
Fábia Martins Pereira-Cellini ◽  
Kelly Coca ◽  
Davi Casale Aragon ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
World Health ◽  
Breastfeeding Support ◽  
Cross Sectional ◽  
Maternity Services ◽  
Community Needs ◽  
Care Services ◽  
Skin Contact ◽  
Health Organization ◽  
The Impact

Abstract Background The World Health Organization recognizes exclusive breastfeeding a safe source of nutrition available for children in most humanitarian emergencies, as in the current pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Despite the Brazilian national guideline protecting breastfeeding practices, there are many concerns about protecting infants from their infected mothers. This study aimed to analyze how the Brazilian hospitals and maternity services promote and support mothers suspected or diagnosed with coronavirus disease (COVID-19). Methods This is a descriptive cross-sectional and multicenter study which collected data from 24 Brazilian hospitals and maternity services between March and July 2020. Representatives of the institutions completed a questionnaire based on acts to promote and support breastfeeding, the Baby-Friendly Hospital Initiative, and Brazil’s federal law recommendations. Results The results showed that in delivery rooms, 98.5% of the services prohibited immediate and uninterrupted skin-to-skin contact between mothers and their infants and did not support mothers to initiate breastfeeding in the first hour. On the postnatal ward, 98.5% of the services allowed breastfeeding while implementing respiratory hygiene practices to prevent transmission of COVID-19. Companions for mothers were forbidden in 83.3% of the hospitals. Hospital discharge was mostly between 24 and 28 h (79.1%); discharge guidelines were not individualized. Additionally, a lack of support was noticed from the home environment’s health community network (83.3%). Hospital and home breast pumping were allowed (87.5%), but breast milk donation was not accepted (95.8%). There was a lack of guidance regarding the use of infant comforting strategies. Guidelines specific for vulnerable populations were not covered in the material evaluated. Conclusions In Brazil, hospitals have not followed recommendations to protect, promote, and support breastfeeding during the COVID-19 outbreak. The disagreement between international guidelines has been a major issue. The absence of recommendations on breastfeeding support during the pandemic led to difficulties in developing standards among hospitals in different regions of Brazil and other countries worldwide. The scientific community needs to discuss how to improve maternal and infant care services to protect breastfeeding in the current pandemic.

scholarly journals The Utilization of Protective Face Masks among Polish Healthcare Workers during COVID-19 Pandemic: Do We Pass the Exam?

2021 ◽  
Vol 18 (2) ◽  
pp. 841
Author(s):  
Radomir Reszke ◽  
Łukasz Matusiak ◽  
Piotr K. Krajewski ◽  
Marta Szepietowska ◽  
Rafał Białynicki-Birula ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Medical Profession ◽  
Cross Sectional Study ◽  
Internet Survey ◽  
World Health ◽  
Cross Sectional ◽  
Protective Measures ◽  
Who Criteria ◽  
The Face ◽  
Health Organization

Relevant personal protective measures during the COVID-19 pandemic include face masks, possibly decreasing the risk of infection among the general population and healthcare workers (HCW) if utilized properly. The aim of the study was to assess whether different Polish HCW utilize face masks according to the 2020 World Health Organization guidance (WHO) criteria. This cross-sectional study included 1156 respondents who participated in an internet survey evaluating mask-related behaviors. All the WHO criteria were complied with by 1.4% of participants, regardless of medical profession, specialty or place of employment. HCW mostly adhered to criterion 1 (C1; strict covering of the face and mouth with the mask; 90.8%), C4 (washing/disinfecting the hands after touching/taking off the mask; 49%) and C3 (taking off the mask properly without touching the anterior surface; 43.4%), whereas C2 (avoidance of touching the mask with hands) was complied with least commonly (6.8%). HCW with mask-induced itch (31.6%) complied to C2 less often (odds ratio 0.53; p = 0.01). The study reveals that Polish HCW rarely adhere to all the 2020 WHO guidance criteria on the use of masks, whereas the adherence to particular criteria is variable and may be associated with the presence of skin-related conditions and other factors. Better compliance with the recommendations in the future is necessary to increase personal safety of HCW and prevent the transmission of SARS-CoV-2.

scholarly journals Nurses’ Knowledge and Anxiety Levels toward COVID-19 in Saudi Arabia

2021 ◽  
Vol 11 (2) ◽  
pp. 356-363
Author(s):  
Fatmah Alsharif
Keyword(s):  
Saudi Arabia ◽  
Psychological Health ◽  
Care Staff ◽  
World Health ◽  
Health Issues ◽  
Sources Of Information ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
As Stress ◽  
Health Organization

Background: In the battle against the Coronavirus Disease 2019 (COVID-19) pandemic, medical care staff, especially nurses, are at a higher risk of encountering psychological health issues and distress, such as stress, tension, burdensome indications, and, most importantly, fear. They are also at higher risk of becoming infected and transmitting this virus. In Saudi Arabia, it was noticed that the healthcare workforce suffered from anxiety, and that this more evident in women than men. Objective: This study aimed to assess the knowledge of nurses regarding COVID-19 and the level of anxiety toward the COVID-19 outbreak in the current pandemic situation. Design: A cross-sectional design was used and a validated self-administered online questionnaire with a set of questions related to COVID-19 was distributed to 87 participating nurses. Results: The results showed that more than half of the nurses (71.90%) had an adequate and good knowledge about the causes, transmission, symptoms, treatment, and death rate of COVID-19. The main sources of information for the nurses were social media (51.7%) and the World Health Organization and the Ministry of Health (36.8%). Conclusions: The results allowed the conclusion that, though the nurses had satisfactory knowledge about COVID-19, more than 50% of them experienced mental health issues such as anxiety. To address this, along with providing more knowledge about COVID-19, nurses should be supported in managing their anxiety.

scholarly journals Managing the Return to Football During the COVID-19 Pandemic: A Survey of the Head Team Physicians of the Football Bowl Subdivision Programs

2021 ◽  
Vol 9 (1) ◽  
pp. 232596712199204
Author(s):  
Alexander D. Slabaugh ◽  
John W. Belk ◽  
Jonathan C. Jackson ◽  
Richard J. Robins ◽  
Eric C. McCarty ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
National Collegiate Athletic Association ◽  
College Football ◽  
Cross Sectional Study ◽  
Return To Play ◽  
World Health ◽  
Cross Sectional ◽  
Football Bowl Subdivision ◽  
Health Organization

Background: COVID-19 is a severe respiratory virus that spreads via person-to-person contact through respiratory droplets. Since being declared a pandemic in early March 2020, the World Health Organization had yet to release guidelines regarding the return of college or professional sports for the 2020-2021 season. Purpose: To survey the head orthopedic surgeons and primary care team physicians for the National Collegiate Athletic Association (NCAA) Football Bowl Subdivision (FBS) football teams so as to gauge the management of common COVID-19 issues for the fall 2020 college football season. Study Design: Cross-sectional study. Methods: The head team orthopaedic surgeons and primary care physicians for all 130 FBS football teams were surveyed regarding their opinions on the management of college football during the COVID-19 pandemic. A total of 30 questions regarding testing, return-to-play protocol, isolating athletes, and other management issues were posed via email survey sent on June 5, 2020. Results: Of the 210 team physicians surveyed, 103 (49%) completed the questionnaire. Overall, 36.9% of respondents felt that it was unsafe for college athletes to return to playing football during fall 2020. While the majority of football programs (96.1%) were testing athletes for COVID-19 as they returned to campus, only 78.6% of programs required athletes to undergo a mandatory quarantine period before resuming involvement in athletic department activities. Of the programs that were quarantining their players upon return to campus, 20% did so for 1 week, 20% for 2 weeks, and 32.9% quarantined their athletes until they had a negative COVID-19 test. Conclusion: While US Centers for Disease Control and Prevention guidelines evolve and geographic regions experience a range of COVID-19 infections, determining a universal strategy for return to socialization and participation in sports remains a challenge. The current study highlighted areas of consensus and strong agreement, but the results also demonstrated a need for clarity and consistency in operations, leadership, and guidance for medical professionals in multiple areas as they attempt to safely mitigate risk for college football players amid the COVID-19 pandemic.

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