scholarly journals P024: Physician reporting of medically unfit drivers: knowledge, attitudes, and practice

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S85-S86
Author(s):  
J.R. Brubacher ◽  
C. Renschler ◽  
B. Huang ◽  
W.C. Lee ◽  
A.M. Gomez ◽  
...  
Keyword(s):  
Public Health ◽  
Motor Skills ◽  
Online Survey ◽  
Public Health Problem ◽  
Fitness To Drive ◽  
Physician Knowledge ◽  
Unfit Patients ◽  
And Training ◽  
Potential Public Health ◽  
Do So

Introduction: Medical conditions that impair perception, cognition or motor skills may make people unfit to drive. Reporting unfit drivers to licensing authorities is seen by many as a public health obligation. This study investigates physician knowledge, attitudes and practice around the management of medically unfit drivers. Methods: We used an online survey to explore physician knowledge of fitness to drive issues and their attitudes and practice with regard to counselling and reporting unfit drivers. Email invitations to participate in the survey were sent to all physicians in BC through DoctorsofBC and to all emergency physicians (EPs) in the UBC Department of Emergency Medicine. Results: We received responses from 242 physicians (47% EPs, 40% GPs, 13% others). The majority (78%) reported little/no knowledge on determining driver fitness and 94% had little/no training around guidelines, reporting, and laws involving fitness to drive. Most (88%) agreed that physicians should be obligated to advise medically unfit patients not to drive, and 74% reported that they often warn patients not to drive. The majority of physicians also chart their opinion of patients’ fitness to drive (67% do so more than twice per year). Most respondents (70%) indicated that it is “always appropriate” to report definitely unfit drivers whereas only 25% indicated that it is “always appropriate” to report potentially unfit drivers. However, in practice physicians see far more unfit drivers than they report to licensing authority: 67% of physicians encounter definitely unfit drivers more than twice per year but only 19% report definitely unfit drivers more than twice per year and 34% never report definitely unfit drivers. Compared to other physicians, EPs reported less knowledge and training about criteria for determining fitness to drive, were more likely to feel that reporting unfit drivers was not their responsibility, and were less likely to report unfit drivers to licensing authorities. Conclusion: Our findings indicate a need for more education and information resources to help physicians, particularly EPs, identify and manage medically unfit drivers. Although most physicians warn unfit drivers not to drive and document this in medical records, many medically unfit drivers are not reported to licensing authorities, a potential public health problem that should be further investigated.

scholarly journals Physical activity counselling in Ireland: a survey of doctors’ knowledge, attitudes and self-reported practice

2019 ◽  
Vol 5 (1) ◽  
pp. e000572 ◽  
Author(s):  
Sarah O'Brien ◽  
Lucia Prihodova ◽  
Mairéad Heffron ◽  
Peter Wright
Keyword(s):  
Physical Activity ◽  
General Practitioners ◽  
Royal College ◽  
Patient Preference ◽  
Online Survey ◽  
Response Rate ◽  
Further Education ◽  
Pharmaceutical Intervention ◽  
And Training ◽  
Do So

ObjectivePhysical activity (PA) counselling has been shown to raise awareness of the importance of PA and to increase the rate of PA engagement among patients. While much attention has been paid to examining the knowledge, attitudes and practice of general practitioners in relation to PA counselling, there is less literature examining such issues in hospital-based doctors in Ireland and further afield. This study aimed to explore doctors’ PA counselling practices and to analyse how this related to their level of PA knowledge, training and attitudes.MethodsAn invitation to participate in an online survey was sent to 4692 members of the Royal College of Physicians of Ireland who were listed as having an address in Ireland. Descriptive and explorative analyses of the data were performed using IBM SPSS V.22.0.ResultsA total of 595 valid responses were included (response rate 12.7%; 42.7% male, 42.6±12.1 years). The majority reported enquiring about PA levels (88.0%) and providing PA counselling (86.4%) in at least some of their patients. Doctors who saw it as their role and those who felt more effective/confident in providing PA counselling were significantly more likely to do so. A perceived lack of patient interest in PA and patient preference for pharmaceutical intervention were significant barriers to undertaking PA counselling.ConclusionThis study demonstrates the need for further education and training in PA counselling in Ireland with a particular focus on improving the attitudes and self-efficacy of doctors in this area at both undergraduate and postgraduate levels.

A STUDY OF INTESTINAL HELMINTHS OF SWINE FROM CHIKUN AND JEMA’A LOCAL GOVERNMENT AREAS OF KADUNA STATE, NIGERIA

2021 ◽  
Vol 5 (1) ◽  
pp. 594-600
Author(s):  
Chibuzor Nwokoye ◽  
Benjamin Onusiriuka ◽  
Umar Yahaya ◽  
Karderam Bukar Dikwa
Keyword(s):  
Public Health ◽  
Local Government ◽  
Light Microscopy ◽  
Helminth Infection ◽  
Public Health Problem ◽  
Control Measures ◽  
Intestinal Helminths ◽  
Oesophagostomum Dentatum ◽  
Faecal Samples ◽  
Potential Public Health

A study was conducted between May and August, 2018 to determine the prevalence of intestinal helminths of pigs in Chikun and Jema’a Local Government Areas, Kaduna State. 203 faecal samples were collected, processed and examined under light microscopy. Intestinal helminths recorded were: Ascaris suum (57.1%), Oesophagostomum dentatum (37.0%), Hyostrongylus rubidus (14.8%), Metastrongylus elongates (8.9%), Strongyloides (4.5%), Stepanurus dentatum (2.5%), Trichuris suis(1.5%), Globocephalus urobuslatus (2.0%) and Physocephalus sexalatus (1.5%). The overall prevalence of helminth infection in both LGAs was 71.9%. Pigs in Jema’a LGA had significantly higher prevalence (87.9%) than pigs from Chikun LGA (56.7%). Female pigs had relatively higher (74.4%) infection than male pigs (68.6%). This pattern was also reflected in Chikun LGA where female pigs had a prevalence of 63.9% compared to 46.5% in males, however, the reverse was the case in Jema’a LGA where males had 90.7% prevalence and females 85.7%. In Chikun LGA, the highest prevalence of 58.6% was recorded among pigs aged 25-36 months, followed by pigs aged 5-12 months with prevalence of 57.1%, and the least prevalence of 55.0% was recorded in pigs aged 13-24 months. The prevalence of intestinal helminthosis in pigs tends to decrease with age in Jema’a LGA. The presence of these parasites in pigs examined indicates a potential public health problem in Chikun and Jema’a Local Government Areas of Kaduna state. Enlightenment of pig farmers on the need for periodic veterinary care and restriction of stray pigs through legislation formulation and enforcement are recommended as control measures

scholarly journals Refractive disorders in children

2021 ◽  
Vol 70 (1) ◽  
pp. 5-9
Author(s):  
Larisa-Bianca Holhos ◽  
◽  
Mihaela Coroi ◽  
Teodora Holhos ◽  
Ioana Damian ◽  
...  
Keyword(s):  
Public Health ◽  
Motor Skills ◽  
Motor Development ◽  
Public Health Problem ◽  
Severe Form ◽  
Perceptual System ◽  
Refractive Errors ◽  
Visual Dysfunction ◽  
Sensory Motor ◽  
Complex Activities

According to current estimations, globally, there are around 150 million people with an uncorrected refractive disorder, which means 27% of the world’s population. Approximately 1.4 million of these are children and have a milder or more severe form of visual dysfunction secondary to refractive errors. Since 1990, refractive errors are considered to be a public health problem among children and cause visual dysfunction, with a prevalence of up to 43%. Vision maturation occurs in early childhood, when all the senses and motor skills work together to acquire language, first ideas about the environment and all the elements that define the person himself. Sight is a contributory perceptual system for the cognitive, social, sensory-motor development and for the assemblage of information about the environment. In the first years of life, the child increasingly discovers complex activities, requiring the ability to change the eyes fixation in space from one point to another and a normal binocular motility.

scholarly journals CutaneousCorynebacterium Diphtheriae: A Traveller’s Disease?

1995 ◽  
Vol 6 (3) ◽  
pp. 150-152 ◽  
Author(s):  
A Berih
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Public Health Problem ◽  
Corynebacterium Diphtheriae ◽  
Skin Ulcer ◽  
Toxigenic Strain ◽  
Public Health Officials ◽  
Potential Public Health ◽  
Close Contacts

A Canadian soldier incurred a nonhealing traumatic skin ulcer while on duty in Somalia. The diagnosis of localized cutaneous diphtheria was confirmed by isolation of a toxigenic strain ofCorynebacterium diphtheriaefrom the ulcer. The patient was placed in isolation and treated with erythromycin and penicillin for 10 days without antitoxin. He was released when two consecutive daily cultures were negative. Public health officials evaluated his wife, two children and close contacts for carriage, but no carriers or secondary cases were identified. Cutaneous diphtheria as a diagnostic and management patient problem and potential public health problem are discussed.

scholarly journals Designing a Gardening Intervention to Improve Health: Recommendations From New and Experienced Gardeners

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 153-153
Author(s):  
Moriah Lukasik ◽  
Candace Bordner ◽  
Benjamin Watt ◽  
Young Ho ◽  
Susan Veldheer
Keyword(s):  
Public Health ◽  
Online Survey ◽  
Fruits And Vegetables ◽  
Public Health Intervention ◽  
Health Intervention ◽  
Amazon Mechanical Turk ◽  
Funding Sources ◽  
Frequent Response ◽  
Vegetable Gardening ◽  
Potential Public Health

Abstract Objectives Gardeners consume more fruits and vegetables (F&V) and have lower body mass indexes (BMI) than non-gardeners, making gardening a potential public health intervention. Little is known about information needed to teach gardening skills to novice gardeners. This study investigated what never gardeners (NG) and experienced gardeners (EG) perceived as necessary information to teach gardening. Methods Amazon Mechanical Turk (MTurk) workers responded to demographic and gardening questions via an online survey. After reviewing responses for completeness, 415 participants were included in the analysis. Participants were characterized by gardening experience level based on the total years they had gardened (0 years = NG, 1 + years = EG). In open ended questions, NG were asked: “What, if anything, would encourage you to start vegetable gardening?” and “What information do you think you would need to start a vegetable garden?” Experienced gardeners were asked “What information would be most important to teach someone who is new to vegetable gardening?” Qualitative responses were coded and the most frequent responses are presented. Results The overall sample had a mean age of 40 years, was 47% female, 80% white, and 68% with a college degree. There were 203 NG (48.9%) and 241 EG (51.1%). For reasons that would motivate NG to start a garden, the two most frequently indicated were, 1) having the space needed to start a garden (n = 33, 16%) or 2) if it would be a way to save money (20, 9.7%). For NGs the most frequently mentioned response to what information they would need to start vegetable gardening on their own was information regarding maintenance, such as sunlight, water, weeding, and spacing (n = 30, 14.8%). For EGs the most frequent response to what information would be most important to teach someone new to vegetable gardening, was also information related to maintenance such as, such as sunlight, water, weeding, and spacing (n = 41, 17%). Conclusions Gardening is a potential public health intervention that can influence health. Understanding space needs, costs of starting a garden, and knowing when to plant are key learning topics needed when developing these interventions for new gardeners. Future analyses will investigate the preferences and characteristics of those who would like to participate in an online versus an in-person gardening intervention. Funding Sources None.

scholarly journals P020: Paramedic comfort with providing palliative support: pre-implementation survey

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S84-S85
Author(s):  
A. Carter ◽  
M. Arab ◽  
M. Harrison ◽  
J. Goldstein ◽  
J. Jensen ◽  
...  
Keyword(s):  
Palliative Care ◽  
Crisis Management ◽  
Online Survey ◽  
Training Session ◽  
Likert Scale ◽  
Point Scale ◽  
Goals Of Care ◽  
And Training ◽  
Healthcare Need ◽  
Do So

Introduction: Paramedics are sometimes called for crisis management and relief of symptoms or for patients receiving palliative care. To address the mismatch between the system protocols and resources, and patient’s goals of care, a new protocol, new medications, and an 8-hour training program Learning Essentials Approach to Palliative Care (LEAP) were implemented in our provincial EMS system. Methods: Prior to attending their training session paramedics received an invitation to complete an online survey regarding their comfort, confidence, and attitudes toward delivering palliative care. Comfort and confidence questions were scored on a 4-point Likert scale, while attitudes toward specific aspects of care were scored on a 7-point Likert scale. Descriptive statistics were calculated. Identifiers will permit linkage of these responses to a repeat survey post-implementation. Results: 188 (58%) paramedics completed the survey of the 325 who opened the link. 134 (68%) were male with a mean age of 38.5 years. 95 (50%) were primary care paramedics. The average experience as a paramedic was 12.7 years, with an estimated mean number of palliative calls per year of 9.6 each. On a 4 point scale, most (156, 83%) were comfortable with providing care to someone with palliative goals, and 130 (69.1%) were comfortable providing care without transport. Only 82 (43.6%) were confident they had the tools to deliver this care, and 76 (40.4%) were confident they could do so without transport to hospital. On a 7 point scale, paramedics disagreed with the statement “caring for dying persons is not a worthwhile experience for me”, median 7 (IQR 5-7). Paramedics also disagreed with the statement “Dying persons make me feel uneasy”, median 5 (IQR 4-6). Conclusion: Prior to the implementation of the new protocol, medications, and training, most paramedics were comfortable with the concept of providing care with palliative goals and felt that caring for dying persons is a worthwhile experience, but they were not confident that they have the tools and resources to do so. This suggests paramedics would be open to system improvements to meet an unmet healthcare need for crisis management of patients with palliative goals of care.

LISTERIOSIS: A POTENTIAL PUBLIC HEALTH PROBLEM

1958 ◽  
Vol 70 (3) ◽  
pp. 624-631 ◽  
Author(s):  
John F. Winn ◽  
William B. Cherry ◽  
Elizabeth O. King
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Public Health Problem ◽  
Potential Public Health

scholarly journals Chronic Respiratory Infections by Mucoid Carbapenemase-Producing Pseudomonas aeruginosa Strains, a New Potential Public Health Problem

2008 ◽  
Vol 52 (6) ◽  
pp. 2285-2286 ◽  
Author(s):  
Carlos Juan ◽  
Olivia Gutiérrez ◽  
Feliu Renom ◽  
Margarita Garau ◽  
Sebastián Albertí ◽  
...  
Keyword(s):  
Public Health ◽  
Pseudomonas Aeruginosa ◽  
Health Problem ◽  
Respiratory Infections ◽  
Public Health Problem ◽  
Potential Public Health
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